2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1255323895 M.D.
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Thomas Donnelly, M.D.

Critical Care Medicine (Internal Medicine) Physician in Aurora, Colorado. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,631 in Critical Care Medicine (Internal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
540
Medicare Part D claims · 104 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
23%
generic claims · 77% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$56.84
3 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Thomas Donnelly, M.D. filed 540 Medicare Part D claims in 2023 as a Critical Care Medicine (Internal Medicine) Physician in Aurora, Colorado, prescribing 23% generic.

540
Part D claims, 2023
23%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Thomas Donnelly, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

540 Top 34% higher than 66% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic, not verified)

Thomas Donnelly, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Thomas Donnelly, M.D.?

Quality data not reported

NPI registry status

Active

Issued 08/19/2005

NPI 1255323895

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

540 49% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

Specialty distribution in Colorado

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Colorado providers

Colorado providers

Largest specialties in Colorado (% of in-state providers)

Behavior Technician - 7.8%Behavior Technician7.8%Mental Health Counselor - 6.2%Mental Health Counselor6.2%Physical Therapist - 4.2%Physical Therapist4.2%Clinical Social Worker - 4.2%Clinical Social Worker4.2%Professional Counselor - 3.7%Professional Counselor3.7%Registered Nurse - 3.6%Registered Nurse3.6%Critical Care Medicine (Internal Medicine) Physician - 0.1%Critical Care Medicine (Internal Medicine) Physician0.1%
Largest specialties in Colorado (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Critical Care Medicine (Internal Medicine) Physician. Verify directly:

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Thomas Donnelly, M.D. appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D. credentials at 12605 E 16TH AVE, Aurora, CO, 80045, with a listed phone of (720) 848-0000. NPI 1255323895 was issued on 08/19/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Donnelly most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 540 prescription claims written by this provider, covering 104 Medicare beneficiaries and totaling roughly $222K in drug spend, split 77% brand-name and 23% generic by claim count. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

12605 E 16TH AVE
Aurora, CO 80045

Provider Details

NPI 1255323895
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 08/19/2005

Hospital and facility affiliations

Facilities where Thomas Donnelly, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Pulmonary And Critical Care Consultants, Inc
Dayton, OH
University Physicians Incorporated
Aurora, CO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Thomas Donnelly, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$57

Largest payer

GENZYME CORPORATION

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Brand-heavy

Thomas Donnelly, M.D. - brand share 77.0%
Critical Care Medicine (Internal Medicine) Physician average

77% brand-name claims vs 23% generic, on 540 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

540
Total Claims
$222K
Total Drug Cost
104
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
719
Total Day Supply
20,352
Brand vs Generic
77% brand / 23% generic
Brand Drug Cost
$217K
Generic Drug Cost
$5K
Antibiotic Claims
12

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
2.05
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Thomas Donnelly, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
107
Symbicort
Budesonide/Formoterol Fumarate
97
Stiolto Respimat
Tiotropium Br/Olodaterol Hcl
48
Spiriva Respimat
Tiotropium Bromide
34
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
24
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
23
Fluticasone Propionate
21
Ventolin Hfa
Albuterol Sulfate
21
Montelukast Sodium
20
Prednisone
19

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Critical Care Medicine (Internal Medicine) Physician Overview

How Thomas Donnelly, M.D. fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

Thomas Donnelly, M.D.'s 540 claims are below the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Colorado

Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Donnelly.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Colorado medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Critical Care Medicine (Internal Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Thomas Donnelly, M.D.'s specialty?
Thomas Donnelly, M.D. specializes in Critical Care Medicine (Internal Medicine) Physician and practices in Aurora, Colorado. Credentials: M.D..
How much does Thomas Donnelly, M.D. prescribe under Medicare Part D?
In 2023, Thomas Donnelly, M.D. wrote 540 Medicare Part D claims totaling $222K in drug costs for 104 beneficiaries.
Where is Thomas Donnelly, M.D. located?
Thomas Donnelly, M.D. is located at 12605 E 16TH AVE, Aurora, CO, 80045. Phone: (720) 848-0000.
What is Thomas Donnelly, M.D.'s NPI number?
Thomas Donnelly, M.D.'s National Provider Identifier (NPI) is 1255323895, issued on 08/19/2005.
Does Thomas Donnelly, M.D. prescribe more brand-name or generic drugs?
Thomas Donnelly, M.D.'s prescribing is 77% brand-name and 23% generic drugs by claim count, with $217K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does Thomas Donnelly, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Thomas Donnelly, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Symbicort, Stiolto Respimat. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Thomas Donnelly, M.D. accept Medicare?
Thomas Donnelly, M.D. appears in CMS Medicare data with 540 Part D claims and 104 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Donnelly, M.D.'s credentials?
Thomas Donnelly, M.D.'s NPI is 1255323895 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.