James M Donley, MD - Medicare Orthopedic Surgery in Madisonville, KY

James M Donley, MD is a medicare enrolled "Orthopaedic Surgery" physician in Madisonville, Kentucky. He went to Saint Louis University School Of Medicine and graduated in 1969 and has 55 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Baptist Health Deaconess Medical Group Inc and his current practice location is 200 Clinic Dr, Madisonville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 824-6655.

James M Donley is licensed to practice in Kentucky (license number 19218) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912953811.

Contact Information

James M Donley, MD
200 Clinic Dr,
Madisonville, KY 42431-1661
(270) 824-6655
(270) 824-6629

Map and Direction




Physician's Profile

Full NameJames M Donley
GenderMale
SpecialityOrthopedic Surgery
Experience55 Years
Location200 Clinic Dr, Madisonville, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James M Donley attended and graduated from Saint Louis University School Of Medicine in 1969
  NPI Data:
  • NPI Number: 1912953811
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 02/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8325099369
  • Enrollment ID: I20050207000721

Medical Identifiers

Medical identifiers for James M Donley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912953811NPI-NPPES
000000356350OtherKYBCBS
6419218000MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0106XOrthopaedic Surgery - Hand Surgery 19218 (Kentucky)Secondary
207X00000XOrthopaedic Surgery 19218 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health MadisonvilleMadisonville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Health Deaconess Medical Group Inc6103220330126

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. James M Donley allows following entities to bill medicare on his behalf.
Entity NameBaptist Health Deaconess Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437730942
PECOS PAC ID: 6103220330
Enrollment ID: O20210810000993

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James M Donley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
James M Donley, MD
2700 Stanley Gault Pkwy, Suite 129,
Louisville, KY 40223-5132

Ph: (866) 273-5392
James M Donley, MD
200 Clinic Dr,
Madisonville, KY 42431-1661

Ph: (270) 824-6655

Reviews and Comments


Orthopaedic Surgery Doctors in Madisonville, KY

James Criss Yelton, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 200 Clinic Dr, Madisonville, KY 42431
Phone: 270-824-6655    Fax: 270-824-6629
James Carpenter Dodds, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 200 Clinic Dr, Madisonville, KY 42431
Phone: 270-824-6655    Fax: 270-824-6629
Joseph E. Mesa, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 200 Clinic Dr, Madisonville, KY 42431
Phone: 270-825-7200    
Dr. Hari Krishna Ankem, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 200 Clinic Dr, Madisonville, KY 42431
Phone: 270-824-6655    
Dr. Benjamin W. Burkett, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 200 Clinic Dr, Madisonville, KY 42431
Phone: 270-824-6655    Fax: 270-824-6629

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.