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ANNMARIE MCDONALD MD
NPI 1003976341
Family Medicine in South Ozone Park, NY

Active since December 09, 2006PECOS EnrolledAccepts Medicare Assignment
13203 120TH AVE, SOUTH OZONE PARK, NY 11420(718) 704-0953(718) 228-2601 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 23, 2017 (3 updates tracked since 2017).

About Annmarie Mcdonald Md NPPES

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

ANNMARIE MCDONALD MD (NPI 1003976341) is an individual family medicine provider in South Ozone Park, New York, licensed in New York (208705) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Howard University College Of Medicine (1995).

NPPES Registry Identity

NPI1003976341
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANNMARIE MCDONALDCredential: MD
Location Address13203 120TH AVESouth Ozone Park, NY 11420-2916
Mailing Address13203 120th AveSouth Ozone Park, NY 11420-2916 · (718) 704-0953 · Fax (718) 228-2601
Phone(718) 704-0953
Fax(718) 228-2601
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1995
Enumeration DateDecember 9, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1003976341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 208705
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.
13203 120TH AVE, South Ozone Park, NY 11420
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Secondary Practice Location 1

Location 1418 E 138th StBronx, NY 10454-3136 · Phone (718) 414-9884

Other Identifiers 1

Medicaid01947653NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Annmarie Mcdonald Md 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 ID8224126628
PECOS Enrollment IDI20071119000478
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.

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 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.
62 services39 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
26 services26 patients
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.
23 services18 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11420 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%94 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

LOVING CARE MEDICAL PC
Family Medicine
13203 120TH AVE
SOUTH OZONE PARK, NY 11420
Queens County (718) 704-0953

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 Annmarie Mcdonald's NPI number?

The NPI number for Annmarie Mcdonald is 1003976341. It was assigned to this individual provider in the NPPES registry on December 9, 2006.

Where is Annmarie Mcdonald located?

Annmarie Mcdonald practices at 13203 120th Ave, South Ozone Park, NY 11420. The listed phone number is (718) 704-0953.

What is Annmarie Mcdonald's specialty?

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

Is Annmarie Mcdonald enrolled in Medicare?

Yes. Annmarie 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.

When was this NPI record last updated?

The NPPES record for Annmarie Mcdonald was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.