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GARY R. MCDONALD M.D.
NPI 1013957976
Internal Medicine in Nashville, TN

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
4230 HARDING RD, SUITE 400, NASHVILLE, TN 37205(615) 297-2700(615) 269-4584 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gary R. Mcdonald M.d. NPPES

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

GARY R. MCDONALD M.D. (NPI 1013957976) is an individual internal medicine provider in Nashville, Tennessee, licensed in Tennessee (20283) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Saint Thomas Hospital, and is a graduate of Vanderbilt University School Of Medicine (1988).

NPPES Registry Identity

NPI1013957976
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGARY R. MCDONALDCredential: M.D.
Location Address4230 HARDING RD, SUITE 400Nashville, TN 37205-2013
Mailing Address104 Woodmont Blvd, Suite Ll50Nashville, TN 37205-2245 · (615) 386-2300 · Fax (615) 386-2399
Phone(615) 297-2700
Fax(615) 269-4584
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1988
Enumeration DateJune 8, 2006
Last NPPES UpdateAugust 7, 2014
✔ NPI 1013957976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 20283
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4230 HARDING RD, Nashville, TN 37205
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Other Identifiers 11

Other1074558TN · Usa Mco
Other110220160TN · Medicare Rr
Other3164324TN · Blue Cross Of Tn
Medicaid1507823TN
Other977796TN · United Health Care
Medicare UPINF25857
Other12219843TN · Multiplan/phcs
Medicare PIN3067150TN
Other2571436TN · Cigna
Medicaid64916265KY
Other10078366TN · Amerigroup

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Gary R. Mcdonald M.d. 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 ID547343154
PECOS Enrollment IDI20100415000420
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 6

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.
145 services92 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.
116 services116 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.
88 services61 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
62 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
30 services30 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37205 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers23 claims53 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims15 services$1.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims23 services$89.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

RICHARD C TOMICHEK M.D.
Anesthesiology
4230 HARDING RD, SUITE 435
NASHVILLE, TN 37205
Davidson County (615) 385-3704
LAWRENCE W FREUND D.O.
Anesthesiology (Critical Care Medicine)
4230 HARDING RD, SUITE 435
NASHVILLE, TN 37205
Davidson County (615) 385-3704
TIMOTHY D DIBBLE MD
Internal Medicine
4230 HARDING RD, SUITE 400
NASHVILLE, TN 37205
Davidson County (615) 297-2700
H. DOUGLAS HOLLIDAY MD PLLC
Internal Medicine
4230 HARDING RD, STE. 530 HEART INSTITUTE
NASHVILLE, TN 37205
Davidson County (615) 297-6006
ASA CLYDE HEFLIN M.D.
Internal Medicine (Pulmonary Disease)
4230 HARDING RD, SUITE 400
NASHVILLE, TN 37205
Davidson County (615) 297-2700
MS. SUSAN ST ROMAIN ANDERSON CRNA
Nurse Anesthetist, Certified Registered
4230 HARDING RD, SUITE 435
NASHVILLE, TN 37205
Davidson County (615) 385-3704
NEWTON P. ALLEN JR. M.D.
Internal Medicine
4230 HARDING RD, SUITE 400
NASHVILLE, TN 37205
Davidson County (615) 297-2700
JOHN M. GUENST M.D.
Internal Medicine
4230 HARDING RD, SUITE 400
NASHVILLE, TN 37205
Davidson County (615) 297-2700

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 Gary Mcdonald's NPI number?

The NPI number for Gary Mcdonald is 1013957976. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Gary Mcdonald located?

Gary Mcdonald practices at 4230 Harding Rd Suite 400, Nashville, TN 37205. The listed phone number is (615) 297-2700.

What is Gary Mcdonald's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gary Mcdonald enrolled in Medicare?

Yes. Gary 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.

What insurance does Gary Mcdonald accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Gary Mcdonald 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 Gary Mcdonald affiliated with any hospitals?

According to CMS data, Gary Mcdonald is affiliated with Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Gary Mcdonald was last updated on August 7, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.