Dr Donald B Middleton, MD - Medicare Internal Medicine in Pittsburgh, PA

Dr Donald B Middleton, MD is a medicare enrolled "Internal Medicine" physician in Pittsburgh, Pennsylvania. He went to University Of Rochester School Of Medicine And Dentistry and graduated in 1972 and has 52 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Upmc Community Medicine Inc and his current practice location is 3937 Butler St, Pittsburgh, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (412) 622-7343.

Dr Donald B Middleton is licensed to practice in Pennsylvania (license number MD020718E) 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 1609815299.

Contact Information

Dr Donald B Middleton, MD
3937 Butler St,
Pittsburgh, PA 15201-3222
(412) 622-7343
(412) 621-8235

Map and Direction




Physician's Profile

Full NameDr Donald B Middleton
GenderMale
SpecialityInternal Medicine
Experience52 Years
Location3937 Butler St, Pittsburgh, Pennsylvania
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:
  • Dr Donald B Middleton attended and graduated from University Of Rochester School Of Medicine And Dentistry in 1972
  NPI Data:
  • NPI Number: 1609815299
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 12/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6305734567
  • Enrollment ID: I20040309000523

Medical Identifiers

Medical identifiers for Dr Donald B Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609815299NPI-NPPES
0006328020007MedicaidPA
022093OtherPAHIGHMARK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD020718E (Pennsylvania)Secondary
207R00000XInternal Medicine MD020718E (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upmc Community Medicine Inc2062318975679

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. Dr Donald B Middleton allows following entities to bill medicare on his behalf.
Entity NameUpmc Community Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558976092
PECOS PAC ID: 2062318975
Enrollment ID: O20040217000388
Entity NameRenaissance Family Practice-upmc, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467616813
PECOS PAC ID: 7012085558
Enrollment ID: O20081010000052

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. Dr Donald B Middleton 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
Dr Donald B Middleton, MD
139 1st St,
Oakmont, PA 15139-2156

Ph: (412) 596-0944
Dr Donald B Middleton, MD
3937 Butler St,
Pittsburgh, PA 15201-3222

Ph: (412) 622-7343

Reviews and Comments


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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.