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DANIEL MATTHEW MCDONALD M.D,
NPI 1043699614
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in New York, NY

Active since May 28, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
520 EAST 70TH STREET, STARR 4, NEW YORK, NY 10021(646) 962-5555(212) 746-6665 Get Directions Write a Review

NPPES record last updated: July 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2023, Aug 21, 2022, Aug 27, 2019 (3 updates tracked since 2019).

About Daniel Matthew Mcdonald M.d, NPPES

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

DANIEL MATTHEW MCDONALD M.D, (NPI 1043699614) is an individual advanced heart failure and transplant cardiology provider in New York, New York, licensed in New York (293864) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of New York University School Of Medicine (2015).

NPPES Registry Identity

NPI1043699614
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDANIEL MATTHEW MCDONALDCredential: M.D,
Location Address520 EAST 70TH STREET, STARR 4New York, NY 10021
Mailing Address520 East 70th Street, Starr 4New York, NY 10021 · (646) 962-5555
Phone(646) 962-5555
Fax(212) 746-6665
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2015
Enumeration DateMay 28, 2015
Last NPPES UpdateJuly 15, 20233 updates tracked since enumeration
NPPES CertifiedJuly 15, 2023
✔ NPI 1043699614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License✔ Licensed in NY · 293864
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal MedicineTaxonomy 207R00000X · License 293864 (NY)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 293864 (NY)
520 EAST 70TH STREET, New York, NY 10021
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Matthew 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 ID7113305194
PECOS Enrollment IDI20220602003004
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.

Medicare Billing Reassignment

Medicare enrollment records show Daniel Mcdonald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Weill Medical College Of Cornell
Same address
Advanced Heart Failure and Transplant Cardiology
520 E 70TH ST, STARR 4
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 28 clinicians in this Medicare group
NPI 1124333182 (212) 746-2150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
476 services124 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.
219 services103 patients
Evaluation of lower heart chamber assist device 93750
An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.
121 services20 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
112 services72 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
70 services66 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
65 services35 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

MOISES DOMINGUEZ MD
Psychiatry & Neurology (Neurology)
520 EAST 70TH STREET, STARR 607
NEW YORK, NY 10021
New York County (212) 746-7038
RACHEL PATEL PA
Physician Assistant (Surgical)
520 EAST 70TH STREET, STARR PAVILION, 8TH FLOOR, K 803
NEW YORK, NY 10021
New York County (646) 962-2270
ALISON ROPER FNP-C
Nurse Practitioner (Family)
520 EAST 70TH STREET, STARR 443
NEW YORK, NY 10021
New York County (631) 578-4483
UDHAY KRISHNAN MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
520 EAST 70TH STREET, STARR 4
NEW YORK, NY 10021
New York County (212) 746-2381
DR. PAUL NICHOLAS CASALE M.D.
Internal Medicine (Cardiovascular Disease)
520 EAST 70TH STREET, STARR 4
NEW YORK, NY 10021
New York County (646) 962-5558
JEFFREY ABRAMS
Internal Medicine (Cardiovascular Disease)
520 EAST 70TH STREET, ST 443
NEW YORK, NY 10021
New York County (646) 962-2150
MICHAEL AMADOR MD
Hospitalist
520 EAST 70TH STREET, STARR PAVILION, ST-05-507
NEW YORK, NY 10021
New York County (212) 746-4071
JESSE DANIEL GRUBER MD
Hospitalist
520 EAST 70TH STREET, STARR PAVILION, ST-05-507
NEW YORK, NY 10021
New York County (201) 881-6781

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 Daniel Mcdonald's NPI number?

The NPI number for Daniel Mcdonald is 1043699614. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Daniel Mcdonald located?

Daniel Mcdonald practices at 520 East 70th Street Starr 4, New York, NY 10021. The listed phone number is (646) 962-5555.

What is Daniel Mcdonald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Daniel Mcdonald enrolled in Medicare?

Yes. Daniel 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.

Which organization bills Medicare for Daniel Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Mcdonald reassigns Medicare benefits to Weill Medical College Of Cornell (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Daniel Mcdonald affiliated with any hospitals?

According to CMS data, Daniel Mcdonald is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Mcdonald was last updated on July 15, 2023. 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.