Dr. Terry Donat, MD
101 E Miller Rd, Sterling, IL 61081 • +1-303-555-9059
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Sterling Percentiles
NPI #1891760385 • CBSA Regional • Otolaryngology
Statistical peer benchmarking across IL Otolaryngology providers positions Dr. Terry Donat, MD in Sterling at -0.46σ (99th city percentile / 35.64th state percentile, 198 Medicare beneficiaries), with clinical focus spanning 59 Active CMS HCPCS Codes.
Procedural volume for Dr. Donat is led by HCPCS 99213 (Focused Ear, Nose, Sinus & Throat Examination — 357 annual services, $92–$125 GPCI cash estimate), followed by CPT 31231 (Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy, 263/yr) and CPT 31575 (Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection, 200/yr).
Self-pay new patient consultations with Dr. Donat (CPT 99204 GPCI-adjusted benchmark) estimate around $218.00 (community reported average: $218.00) with in-person clinic visits only, 21-minute average reception wait, and a 4.71/5 modern protocol openness score across 3 patient logs.
NPI registry verification (#1891760385) confirms Dr. Terry Donat's MD standing serving CBSA 61081 with a 4.72/5 patient scorecard.
Top 10% Otolaryngology volume leader in Sterling, IL
1,051 annual services across 198 beneficiaries
Standard deviations from IL Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 357 | 99th | $92 – $125 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 263 | 99th | $184 – $252 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 200 | 99.5th | $134 – $184 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 137 | 97th | $65 – $89 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 95 | 99.5th | $58 – $79 |
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Dr. Terry Donat, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Donat National Provider Identifier | NPI #1891760385 (MD) | CMS NPPES Registry (61081) |
| Dr. Donat Sterling CMS Volume Rank | 99.00th Pct (1,051 CMS svcs; Z -0.460σ) | CMS Medicare Part B (IL Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sterling, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 21 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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