TIMOTHY DONELAN, MD
Family Medicine Physician in SIOUX FALLS, South Dakota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
TIMOTHY DONELAN, MD reported a CMS MIPS final score of 76.6912/100 — below the 83.1 national average — and filed 303 Medicare Part D claims in 2023.
- 76.6912/100
- MIPS score · -6 vs avg
- 303
- Part D claims, 2023
- 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.
TIMOTHY DONELAN, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
77 21st percentile higher than 21% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023
TIMOTHY DONELAN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 TIMOTHY DONELAN, MD?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in South Dakota
How Family Medicine Physician compares to other specialties among South Dakota providers
Family Medicine Physician share within South Dakota
Family Medicine Physician is one of the more visible NUCC categories in South Dakota
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
TIMOTHY DONELAN, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 76.6912/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) — 76.6912/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Family Medicine Physician US NPIs
76.6912/100 MIPS final score — 6.4 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Family Medicine Physician. Quality dim: 78.5693. Cost dim: 44.5681.
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).
TIMOTHY DONELAN, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 6110 S MINNESOTA AVE, SIOUX FALLS, SD, 57108, with a listed phone of (605) 332-2883. NPI 1730189325 was issued on 07/26/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DONELAN 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 303 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $7K in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.6912/100 for the 2023 performance year (Quality 78.5693, Cost 44.5681), compared with the national average of 83.1.
Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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
Provider Details
| NPI | 1730189325 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/26/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm TIMOTHY DONELAN, MD's current license status, disciplinary history, and board certifications with the South Dakota Board of Medical and Osteopathic Examiners in South Dakota before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 303
- Total Day Supply
- 9,061
- Brand Drug Cost
- $0
- Generic Drug Cost
- $7K
Patient Demographics
- Average Patient Age
- 58.7 years
- Avg HCC Risk Score
- 1.10
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What TIMOTHY DONELAN, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Bupropion Xl
Bupropion Xl
26 claims
- Levothyroxine Sodium
Levothyroxine Sodium
26 claims
- Venlafaxine Hcl Er
Venlafaxine Hcl Er
16 claims
- Allopurinol
Allopurinol
13 claims
- Atorvastatin Calcium
Atorvastatin Calcium
13 claims
- Benztropine Mesylate
Benztropine Mesylate
13 claims
- Desvenlafaxine Suc…
Desvenlafaxine Succinate Er
13 claims
- Fenofibrate
Fenofibrate
13 claims
| Drug | Claims |
|---|---|
| Bupropion Xl Bupropion Hcl | 26 |
| Levothyroxine Sodium | 26 |
| Venlafaxine Hcl Er Venlafaxine Hcl | 16 |
| Allopurinol | 13 |
| Atorvastatin Calcium | 13 |
| Benztropine Mesylate | 13 |
| Desvenlafaxine Succinate Er Desvenlafaxine Succinate | 13 |
| Fenofibrate | 13 |
| Hydroxychloroquine Sulfate | 13 |
| Losartan Potassium | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How TIMOTHY DONELAN, MD fits within the Family Medicine Physician landscape nationally.
TIMOTHY DONELAN, MD's 303 claims are below the specialty average of 3,418.
Nearby Family Medicine Physician Providers in South Dakota
Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as DONELAN.
Compare Family Medicine Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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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.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
- 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