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HEATHER ELIZABETH MCDONALD D.O.
NPI 1003142886
Family Medicine in San Dimas, CA

Active since October 28, 2009PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1125 VIA VERDE, SAN DIMAS, CA 91773(909) 592-9778(909) 599-6126 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Heather Elizabeth Mcdonald D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER ELIZABETH MCDONALD D.O. (NPI 1003142886) is an individual family medicine provider in San Dimas, California, licensed in California (20A10617) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1003142886
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEATHER ELIZABETH MCDONALDCredential: D.O.
Location Address1125 VIA VERDESan Dimas, CA 91773-4400
Mailing Address1125 Via VerdeSan Dimas, CA 91773-4400 · (909) 592-9778 · Fax (909) 599-6126
Phone(909) 592-9778
Fax(909) 599-6126
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 28, 2009
Last NPPES UpdateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
✔ NPI 1003142886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A10617
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 20A10617 (CA)
1125 VIA VERDE, San Dimas, CA 91773
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Elizabeth Mcdonald D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739373978
PECOS Enrollment IDI20101101001183
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Heather Mcdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emanate Health Medical Group
3.5 mi
General Practice
210 W SAN BERNARDINO RD
Covina, CA 91723
  • Reassigned Medicare billing, California enrollment
  • 70 clinicians in this Medicare group
NPI 1881054997 (626) 858-8580
Emanate Health Medical Care Foundation
6.8 mi
Multi-Specialty
1135 S SUNSET AVE STE 401
West Covina, CA 91790
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
NPI 1467195073 (626) 732-0394

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
273 services70 patients
Osteopathic manipulative treatment, 5-6 body regions 98927
Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose, treat, and prevent illness or injury. In a 5-6 body regions OMT, the doctor applies techniques on those areas to enhance your body's natural healing process.
253 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
116 services76 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91773 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.46
Promoting Interoperability90
Improvement Activities40
Cost50.22

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVE YOUSSEFIAN M.D.
Family Medicine
1125 VIA VERDE
SAN DIMAS, CA 91773
Los Angeles County (909) 592-9778
DR. STEVEN EARL DAVIS D.O.
Family Medicine
1125 VIA VERDE
SAN DIMAS, CA 91773
Los Angeles County (909) 592-9778
DR. RICHARD LLOYD MALINICK M.D.
Orthopaedic Surgery
1125 VIA VERDE
SAN DIMAS, CA 91773
Los Angeles County (909) 592-8170
PATRICK JOHN KURT MD
Family Medicine
1125 VIA VERDE
SAN DIMAS, CA 91773
Los Angeles County (909) 592-9778
JESSICA ANN UHL PA-C
Physician Assistant (Medical)
1125 VIA VERDE
SAN DIMAS, CA 91773
Los Angeles County (909) 592-9778
VIJAY V PATEL M.D.
Internal Medicine
1125 VIA VERDE
SAN DIMAS, CA 91773
Los Angeles County (995) 929-9778
VIA VERDE MEDICAL GROUP, INC
Family Medicine
1125 VIA VERDE
SAN DIMAS, CA 91773
Los Angeles County (909) 592-9778
RICHARD MALINICK MD INC
Orthopaedic Surgery
1125 VIA VERDE
SAN DIMAS, CA 91773
Los Angeles County (804) 520-1764

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Mcdonald's NPI number?

The NPI number for Heather Mcdonald is 1003142886. It was assigned to this individual provider in the NPPES registry on October 28, 2009.

Where is Heather Mcdonald located?

Heather Mcdonald practices at 1125 Via Verde, San Dimas, CA 91773. The listed phone number is (909) 592-9778.

What is Heather Mcdonald's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heather Mcdonald enrolled in Medicare?

Yes. Heather Mcdonald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Heather Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Mcdonald reassigns Medicare benefits to 2 organizations: Emanate Health Medical Group (Covina, CA) and Emanate Health Medical Care Foundation (West Covina, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heather Mcdonald was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.