Dr. Thomas Donnelly, MD
12605 E 16th Ave, Aurora, CO 80045 • +1-632-555-6823
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Aurora Percentiles
NPI #1255323895 • CBSA Regional • Pulmonary Disease
Dr. Thomas Donnelly, MD (NPI #1255323895) practices Pulmonary Disease in Aurora, CO (80045) with sub-specialty concentration in 36 Active CMS HCPCS Codes, recording 722 annual CMS services across 270 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Aurora percentile) (-0.65σ vs CO state mean, 12.16th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Donnelly (averaging 2.7 services per beneficiary), 99214 (Established Pulmonary, Asthma & COPD Management) represents 41% of tracked volume (296 encounters), paired with 94060 (166x).
Self-pay new patient consultations with Dr. Donnelly (CPT 99204 GPCI-adjusted benchmark) estimate around $211.00 (community reported average: $211.00) with in-person clinic visits only, 16-minute average reception wait, and a 4.68/5 modern protocol openness score across 24 patient logs.
Clinical background for Dr. Donnelly (MD, NPI #1255323895) includes accredited doctoral training (2010, 16 yrs in practice) and dedicated on-site consultations at 12605 E 16th Ave.
Compared against Aurora, CO Pulmonary Disease peers
722 annual services across 270 beneficiaries
Standard deviations from CO Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 296 | 12th | $175 – $240 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 166 | 12th | $114 – $156 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 123 | 12th | $103 – $142 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 79 | 12th | $320 – $438 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 58 | 12th | $247 – $338 |
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Dr. Thomas Donnelly, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Donnelly National Provider Identifier | NPI #1255323895 (MD) | CMS NPPES Registry (80045) |
| Dr. Donnelly Aurora CMS Volume Rank | 0.00th Pct (722 CMS svcs; Z -0.649σ) | CMS Medicare Part B (CO Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $211.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Aurora, CO) |
| Waiting-Room Wait Time & Cash Friendliness | $211.00 avg paid • 16 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.68/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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