TALIA FRANCESCA MARIE MCDONOUGH PA-C
NPI 1013368828
Physician Assistant in Wilmington, NC

Active since June 23, 2016PECOS EnrolledAccepts Medicare Assignment
76.76/100
CMS Quality Rating
1988 S 16TH ST, WILMINGTON, NC 28401(910) 662-8440(910) 795-4826 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2024, Oct 24, 2023, Nov 11, 2022 and 3 more (6 updates tracked since 2016).

About Talia Francesca Marie Mcdonough Pa-c NPPES

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

TALIA FRANCESCA MARIE MCDONOUGH PA-C (NPI 1013368828) is an individual physician assistant in Wilmington, North Carolina, licensed in North Carolina (0010-06608) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1013368828
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTALIA FRANCESCA MARIE MCDONOUGHCredential: PA-C
Location Address1988 S 16TH STWilmington, NC 28401-6647
Mailing Address1988 S 16th StWilmington, NC 28401-6647 · (910) 662-8440 · Fax (910) 662-8474
Fax(910) 795-4826
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 23, 2016
Last NPPES UpdateDecember 3, 20246 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
NPI 1013368828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-06608
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1988 S 16TH ST, Wilmington, NC 28401

Secondary Practice Locations 5

Location 12131 S 17th StWilmington, NC 28401-7407 · Phone (910) 667-3000 · Fax (910) 338-0965
Location 21988 S 16th St Bldg AWilmington, NC 28401-6647 · Phone (910) 662-8428 · Fax (910) 795-4826
Location 3545 Ocean Hwy WSupply, NC 28462-4047 · Phone (910) 253-3380 · Fax (910) 338-3993
Location 41988 S 16th St Bldg BWilmington, NC 28401-6647 · Phone (910) 662-8440 · Fax (910) 795-4826
Location 5151 Scotts Hill Medical DrWilmington, NC 28411-7983 · Phone (910) 662-8440 · Fax (910) 667-6733

Accepted Insurance

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

Talia Francesca Marie Mcdonough Pa-c 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 ID9830486018
PECOS Enrollment IDI20161003001956
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 5

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.
76 services72 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services34 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.
33 services30 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
24 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services18 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340158
Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County
Emergency services Birthing friendly

Pender Memorial Hospital

Critical Access Hospitals · Burgaw, NC
OwnershipGovernment - Local
CMS Certification Number341307
Location507 E Fremont StBurgaw, NC 28425 · Pender County
Emergency services

J Arthur Dosher Memorial Hospital

Critical Access Hospitals · Southport, NC
OwnershipVoluntary non-profit - Other
CMS Certification Number341327
Location924 Howe StSouthport, NC 28461 · Brunswick County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

76.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.37
Improvement Activities40
Cost51.36

Other Providers at the Same Location NPPES 14

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

Radiology (Radiation Oncology)
1988 S 16TH ST
WILMINGTON, NC 28401
Radiology (Radiation Oncology)
1988 S 16TH ST
WILMINGTON, NC 28401
Radiology (Radiation Oncology)
1988 S 16TH ST
WILMINGTON, NC 28401
Clinic/Center (Oncology, Radiation)
1988 S 16TH ST
WILMINGTON, NC 28401
Radiology (Radiation Oncology)
1988 S 16TH ST
WILMINGTON, NC 28401
Radiology (Radiation Oncology)
1988 S 16TH ST
WILMINGTON, NC 28401
Radiology (Radiation Oncology)
1988 S 16TH ST
WILMINGTON, NC 28401
Radiology (Radiation Oncology)
1988 S 16TH ST
WILMINGTON, NC 28401

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 Talia Mcdonough's NPI number?

The NPI number for Talia Mcdonough is 1013368828. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Talia Mcdonough located?

Talia Mcdonough practices at 1988 S 16th St, Wilmington, NC 28401. The listed phone number is (910) 662-8440.

What is Talia Mcdonough's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Talia Mcdonough enrolled in Medicare?

Yes. Talia Mcdonough 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.

What insurance does Talia Mcdonough accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Talia Mcdonough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Talia Mcdonough affiliated with any hospitals?

According to CMS data, Talia Mcdonough is affiliated with Novant Health New Hanover Regional Medical Center, Novant Health Brunswick Medical Center, Pender Memorial Hospital and J Arthur Dosher Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Talia Mcdonough was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.