Doctor profile · Federal record

Dr. Jacy Donnelly, DO

Psychiatry Physician (CMS: Psychiatry) · Broken Arrow, OK

  • NPI 1457937138
  • 5 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
512 W Atlanta St
Broken Arrow, OK 740127004
(918) 370-4461
fax (918) 512-4723
Mailing address
5310 E 31St St Ste Ll
Tulsa, OK 741355018

Credentials & registration

NPPES · NUCC
NPI registered
March 2021 — 5 yrs on file
Profile last updated
July 4, 2025
Year of graduation
2021 — 5 yrs since
Specialty taxonomy
2084P0800X — NUCC code
State license (1)
Oklahoma #7721

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1457937138. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$33
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Corium, LLC 1 $33.38

By nature of payment

Food and Beverage
$33

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
89
Patients
0
Total drug cost
$1,519
Drug Type Claims Patients Total cost
Fluoxetine Hcl Generic 19 0 $137
Buspirone Hcl Generic 17 0 $207
Aripiprazole Generic 15 0 $279
Duloxetine Hcl Generic 13 0 $225
Lamotrigine Generic 13 0 $93
Trazodone Hcl Generic 12 0 $576

Frequently asked questions

Auto-generated from federal data
What is Dr. Jacy Donnelly's medical specialty?
Dr. Jacy Donnelly practices Psychiatry Physician in Broken Arrow, OK.
Where does Dr. Jacy Donnelly practice?
Dr. Jacy Donnelly practices at 512 W Atlanta St, Broken Arrow, OK 740127004. Office phone: 9183704461.
What is Dr. Jacy Donnelly's NPI?
Dr. Jacy Donnelly's National Provider Identifier (NPI) is 1457937138, issued by NPPES.
Does Dr. Jacy Donnelly accept Medicare assignment?
Dr. Jacy Donnelly does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.