DR. ROBERT J MCDONALD JR. MD
NPI 1033184007
Otolaryngology in Jefferson City, MO

Q: What is Robert Mcdonald's NPI number?

The NPI number for Robert Mcdonald is 1033184007. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Q: What is Robert Mcdonald's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Mcdonald was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

3527 W TRUMAN BLVD, STE 200, JEFFERSON CITY, MO 65109(573) 659-5570(573) 659-5577 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2022, Mar 1, 2017 (2 updates tracked since 2017).

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About Dr. Robert J Mcdonald Jr. Md NPPES

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

DR. ROBERT J MCDONALD JR. MD (NPI 1033184007) is an individual otolaryngology provider in Jefferson City, Missouri, licensed in Missouri (MDR1K87) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital Jefferson City, and is a graduate of University Of Missouri, Columbia School Of Medicine (1988).

NPPES Registry Identity

NPI1033184007

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. ROBERT J MCDONALD JR.Credential: MD

Location Address3527 W TRUMAN BLVD, STE 200Jefferson City, MO 65109-5715

Mailing Address3527 W Truman Blvd, Ste 200Jefferson City, MO 65109-5715 · (573) 659-5570 · Fax (573) 659-5577

Phone(573) 659-5570

Fax(573) 659-5577

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1988

Enumeration DateFebruary 22, 2006

Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration

NPPES CertifiedAugust 17, 2022

✔ NPI 1033184007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in MO · MDR1K87

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

3527 W TRUMAN BLVD, Jefferson City, MO 65109

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Other Identifiers 3

Medicaid206789521MO

OtherP00061459MO · Railroad Medicare

Other24321Blue Cross Blue Shield

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

Dr. Robert J Mcdonald Jr. 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 ID2769486398

PECOS Enrollment IDI20071005000037

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 12

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.

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

15,280 services220 patients

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

10,143 services207 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

2,877 services153 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.

458 services308 patients

Professional service for single injection of allergen 95115

A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.

308 services21 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

147 services111 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

119 services119 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

38 services30 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

36 services34 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

13 services12 patients

Removal of foreign body in ear canal 69200

This procedure involves the careful extraction of an object that has become lodged in your ear canal. It is performed by a medical professional using specialized tools. The process is usually quick and painless, but may require local anesthesia depending on the situation.

13 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Mary's Hospital Jefferson City

Acute Care Hospitals · Jefferson City, MO

3/5 CMS rating

OwnershipProprietary

CMS Certification Number260011

Location2505 Mission DriveJefferson City, MO 65109 · Cole County

Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number260141

LocationOne Hospital DriveColumbia, MO 65212 · Boone County

Emergency services Birthing friendly

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260186

Location54 Hospital DriveOsage Beach, MO 65065 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use

100%99 patients

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)

Lower rates are better for this measure.

0%39 patients5/55-star benchmark: 100%

Advance Care Plan

100%640 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%2,499 patients5/55-star benchmark: 100%

Overuse of Imaging for the Evaluation of Primary Headache

Lower rates are better for this measure.

0%91 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%1,511 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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers16 claims16 services$93.56 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers17 claims39 services$35.33 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers18 claims67 services$15.85 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers22 claims22 services$56.10 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers21 claims21 services$19.39 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers25 claims25 services$16.45 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 16

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

EDWIN DEAN BRESHEARS M.D.

Emergency Medicine

3527 W TRUMAN BLVD
JEFFERSON CITY, MO 65109

Cole County (573) 882-8910

LYNDSEY JO THORNE FNP-BC

Nurse Practitioner (Family)

3527 W TRUMAN BLVD
JEFFERSON CITY, MO 65109

Cole County (573) 893-1848

DR. MARK R KATSAROS D.O.

Emergency Medicine

3527 W TRUMAN BLVD
JEFFERSON CITY, MO 65109

Cole County (573) 882-8910

JAIME RENEE RENFRO FNP

Nurse Practitioner (Adult Health)

3527 W TRUMAN BLVD
JEFFERSON CITY, MO 65109

Cole County (573) 893-7848

ASSOCIATED FAMILY PHYSICIANS, LLC

Family Medicine

3527 W TRUMAN BLVD, SUITE 100
JEFFERSON CITY, MO 65109

Cole County (573) 761-7979

MRS. TINA LYNN KILE FNP-C

Nurse Practitioner (Family)

3527 W TRUMAN BLVD
JEFFERSON CITY, MO 65109

Cole County (573) 893-7848

MID-MISSOURI ENT AND FACIAL PLASTIC SURGERY SPECIALSTS INC.

Otolaryngology

3527 W TRUMAN BLVD, STE 200
JEFFERSON CITY, MO 65109

Cole County (573) 635-7901

KASSIE LYNN THOENEN FNP-C

Nurse Practitioner (Family)

3527 W TRUMAN BLVD
JEFFERSON CITY, MO 65109

Cole County (573) 761-7979

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 Robert Mcdonald's NPI number?

The NPI number for Robert Mcdonald is 1033184007. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Robert Mcdonald located?

Robert Mcdonald practices at 3527 W Truman Blvd Ste 200, Jefferson City, MO 65109. The listed phone number is (573) 659-5570.

What is Robert Mcdonald's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Robert Mcdonald enrolled in Medicare?

Yes. Robert 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.

Is Robert Mcdonald affiliated with any hospitals?

According to CMS data, Robert Mcdonald is affiliated with Ssm Health St Mary's Hospital Jefferson City, University Of Missouri Health Care and Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for Robert Mcdonald was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.