DONELLE BAIRD OLIVER MD
NPI 1285679787
Obstetrics & Gynecology in Austin, TX
NPI Status: Active since June 18, 2006
Contact Information
1111 W 34TH ST
SUITE 200
AUSTIN, TX
ZIP 78705
Phone: (512) 459-8082
Fax: (512) 458-5446
- Individual
- Female
- Years of Experience 29
- Obstetrics & Gynecology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About DONELLE OLIVER
This page provides the complete NPI Profile along with additional information for Donelle Oliver, a women's health care provider established in Austin, Texas with a medical specialization in Obstetrics & Gynecology and more than 29 years of experience. She graduated from University Of Texas Southwestern Medical School At Dallas in 1997. The healthcare provider is registered in the NPI registry with number 1285679787 assigned on June 2006. The practitioner's primary taxonomy code is 207V00000X with license number K5369 (TX). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1285679787
- Provider Name
- DONELLE BAIRD OLIVER MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1111 W 34TH ST SUITE 200 AUSTIN, TX 78705
- Location Phone
- (512) 459-8082
- Location Fax
- (512) 458-5446
- Mailing Address
- 1111 W 34TH ST SUITE 200 AUSTIN, TX 78705
- Mailing Phone
- (512) 459-8082
- Mailing Fax
- (512) 458-5446
- Medical School Name
- UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
- Graduation Year
- 1997
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-18-2006
- Last Update Date
- 09-25-2023
- Code Navigator
Women's health care providers like Donelle Oliver treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- K5369
- License State
- TX
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Standard Expanded Bronze + Vision + Adult Dental - PPO
- Standard Gold - PPO
- Standard Gold + Vision + Adult Dental - PPO
- Standard Silver - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard Guided Care - HMO
- Silver Simple Chronic Care CKM Guided Care - HMO
- Silver Simple Diabetes Guided Care - HMO
- Silver Simple Guided Care - HMO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver Guided Care - HMO
- Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible - HMO
- Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs - HMO
- Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs - HMO
- Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs - HMO
- Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs - HMO
- Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist - HMO
- Sendero Health Real Gold / $350 Deductible - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
179842302 | MEDICAID (05) | TX |
Medicare Participation & PECOS Enrollment Status
Donelle Oliver is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Donelle Oliver is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6204871775
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050624000395
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Cervical or vaginal cancer screening; pelvic and clinical breast examination
Established patient office or other outpatient visit, 20-29 minutes
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
This service was performed 22 times for 22 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 17 times for 15 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.98 for a new patient copayment and $17.98 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78705 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $131.95
- Minimum New Patient Price $57.88
- Maximum New Patient Price $174
- Average New Patient Copayment $32.98
- Minimum New Patient Copayment $14.47
- Maximum New Patient Copayment $43.5
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.95
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.23
- Average Established Patient Copayment $17.98
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.55
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
Quality Measure | Performance | Number of Patients |
---|---|---|
Breast Cancer Screening | 95% | 174 |
Cervical Cancer Screening | 97% | 972 |
e-Prescribing | 99% | 489 |
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 46% | 831 |
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 38% | 1525 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 0% | 913 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 0% | 913 |
Provide Patients Electronic Access to Their Health Information | 99% | 480 |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 8 | 5 | 6 | 7 | 9 | 7 | 8 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 16 | 5 | 12 | 7 | 18 | 7 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 6 + 5 + 1 + 2 + 7 + 1 + 8 + 7 + 1 + 6 + 24 = 73 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 73 = 7 | 7 |
The NPI number 1285679787 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1225013758 | DR. GEORGE WILLEFORD III M.D. Individual | Internal Medicine (Gastroenterology) | 1111 W 34TH ST SUITE 200 AUSTIN, TX 78705 (512) 454-4588 |
1174508758 | DR. RASHAD E DABAGHI M.D. Individual | Internal Medicine (Gastroenterology) | 1111 W 34TH ST SUITE 200 AUSTIN, TX 78705 (512) 454-4588 |
1154307841 | CAROL MITCHELL CNS Individual | Clinical Nurse Specialist (Adult Health) | 1111 W 34TH ST SUITE 200 AUSTIN, TX 78705 (512) 454-4588 |
1598778409 | JAIME E. RAMIREZ M.D. Individual | Pediatrics | 1111 W 34TH ST STE. 102 AUSTIN, TX 78705 (512) 467-1600 |
1922011857 | THOMAS B. DAWSON M.D. Individual | Pediatrics | 1111 W 34TH ST STE. 102 AUSTIN, TX 78705 (512) 467-1600 |
1992992127 | KATHRYN T HAIK NP Individual | Nurse Practitioner (Family) | 1111 W 34TH ST #210 AUSTIN, TX 78705 (512) 451-7935 |
1508034026 | MRS. DIANE M O'MEARA P.A. Individual | Physician Assistant (Medical) | 1111 W 34TH ST SUITE 200 AUSTIN, TX 78705 (512) 454-4588 |
1871917088 | THOMAS DAWSON, MD & JAIME RAMIREZ, MD Organization | Pediatrics | 1111 W 34TH ST SUITE 102 AUSTIN, TX 78705 (512) 467-1600 |
1508079302 | KAVITHA KUMBUM M.D. Individual | Internal Medicine (Gastroenterology) | 1111 W 34TH ST SUITE 200 AUSTIN, TX 78705 (512) 454-4588 |
1831263490 | MRS. JODI ANNE LITTLE NP Individual | Nurse Practitioner (Acute Care) | 1111 W 34TH ST STE 200 AUSTIN, TX 78705 (512) 454-4588 |
1992779599 | DR. MICHAEL DAVID TROTTER M.D. Individual | Urology | 1111 W 34TH ST SUITE 210 AUSTIN, TX 78705 (512) 451-7935 |
1417912098 | BAILEY SQUARE AMBULATORY SURGICAL CENTER, LTD Organization | Clinic/Center (Ambulatory Surgical) | 1111 W 34TH ST AUSTIN, TX 78705 (512) 454-6753 |
1578688164 | CRANIAL TECHNOLOGIES, INC. Organization | Durable Medical Equipment & Medical Supplies (Customized Equipment) | 1111 W 34TH ST SUITE 204 AUSTIN, TX 78705 (512) 374-0089 |
1366895369 | MELISSA SANTOS Individual | Occupational Therapist | 1111 W 34TH ST AUSTIN, TX 78705 (512) 374-0089 |
1013471366 | ASHLEY MICHELLE SHIN PA Individual | Physician Assistant | 1111 W 34TH ST SUITE 200 AUSTIN, TX 78705 (512) 324-3405 |
1245838705 | SHAUNN ATEBARA NP Individual | Nurse Practitioner (Family) | 1111 W 34TH ST SUITE 200 AUSTIN, TX 78705 (512) 324-3405 |
1457555013 | DR. LAURA KATE EASTEP MD Individual | Obstetrics & Gynecology | 1111 W 34TH ST SUITE 200 AUSTIN, TX 78705 (512) 324-3405 |
1528416450 | BRENNA CHRISTINE WISE NP Individual | Nurse Practitioner (Family) | 1111 W 34TH ST SUITE 200 AUSTIN, TX 78705 (512) 324-3405 |
1558521435 | VIDA ESFANDIARI MD Individual | Obstetrics & Gynecology | 1111 W 34TH ST SUITE 200 AUSTIN, TX 78705 (512) 279-6749 |
1588894323 | JENNIFER STREET SUMMERS MD Individual | Obstetrics & Gynecology | 1111 W 34TH ST SUITE 200 AUSTIN, TX 78705 (512) 459-8082 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285679787, enumerated in the NPI registry as an "individual" on June 18, 2006
The provider is located at 1111 W 34th St Suite 200 Austin, Tx 78705 and the phone number is (512) 459-8082
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
The provider has more than 29 years of experience. She graduated from University Of Texas Southwestern Medical School At Dallas in 1997.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider obtained a high score in the following performance measures: Breast Cancer Screening, Cervical Cancer Screening, e-Prescribing , Provide Patients Electronic Access to Their Health Information. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
Medicare beneficiaries should expect a typical cost of $131.95 with an average copayment of $32.98 for new patient appointments. Established patients should expect a typical charge of $71.95 and an average copayment of 17.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Cervical or vaginal cancer screening; pelvic and clinical breast examination and Established patient office or other outpatient visit, 20-29 minutes.
This NPI record was last updated on June 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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