Jacy D. Donnelly, DO
NPI 1457937138ActiveIndividual· Psychiatry & Neurology, Psychiatry· Broken Arrow, OK
Psychiatry & Neurology, Psychiatry (DO) in Broken Arrow, Oklahoma, licensed in OK, with an NPI issued in March 2021. Part D covered 508 prescriptions written in 2024, 98% of them generic. Corium, LLC reported $33.38 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1457937138 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 22, 2021 |
| Last updated in NPPES | Jul 4, 2025 |
| Certified by provider | Jul 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | 7721 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychiatry (OK) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 508 · 845 30-day fills |
|---|---|
| Patients | 42 |
| Total drug cost | $22,155 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Psychiatry |
Industry payments (Open Payments)
- 2024$33.38 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Corium, LLC | $33.38 | 1 |
What the 2024 payments were for
- Food and Beverage$33.38 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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