1. Home
  2. Directory
  3. Ohio
  4. Saint Clairsville
  5. Optometrist
  6. NPI Profile

EDWARD MCDONALD O.D.
NPI 1043252893
Optometrist in Saint Clairsville, OH

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
156 WOODROW AVE, SAINT CLAIRSVILLE, OH 43950(740) 695-2860 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Mcdonald O.d. NPPES

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

EDWARD MCDONALD O.D. (NPI 1043252893) is an individual optometrist in Saint Clairsville, Ohio, licensed in Ohio (5915) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Glen Dale, and is a graduate of Southern College Of Optometry (2000).

NPPES Registry Identity

NPI1043252893
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameEDWARD MCDONALDCredential: O.D.
Location Address156 WOODROW AVESaint Clairsville, OH 43950-1187
Mailing Address156 Woodrow AveSaint Clairsville, OH 43950-1187 · (740) 695-2860
Phone(740) 695-2860
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2000
Enumeration DateJune 12, 2006
Last NPPES UpdateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1043252893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in OH · 5915✔ Licensed in WV · 988-OD
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
156 WOODROW AVE, Saint Clairsville, OH 43950
Open in Google Maps ↗

Secondary Practice Location 1

Location 112 Wheeling AveGlen Dale, WV 26038-1529 · Phone (304) 843-1445

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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

Edward Mcdonald O.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 ID6002829041
PECOS Enrollment IDI20060717000270, I20100702000210, I20250625001450
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 8

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
77 services77 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.
55 services46 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
47 services46 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
39 services39 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.
34 services30 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43950 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 2

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

DR. JOHN C. HEIBY O.D., F.A.A.O.
Optometrist
156 WOODROW AVE, SUITE # 1
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-2860
OCUCARE OPHTHALMIC SERVICES, PLLC
Optometrist
156 WOODROW AVE
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-2860

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 Edward Mcdonald's NPI number?

The NPI number for Edward Mcdonald is 1043252893. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Edward Mcdonald located?

Edward Mcdonald practices at 156 Woodrow Ave, Saint Clairsville, OH 43950. The listed phone number is (740) 695-2860.

What is Edward Mcdonald's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Edward Mcdonald enrolled in Medicare?

Yes. Edward 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 Edward Mcdonald accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 5 other insurers list Edward 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.

When was this NPI record last updated?

The NPPES record for Edward Mcdonald was last updated on March 23, 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.