ROBERT L. MACDONALD MD
NPI 1053476887
Neurological Surgery in Fresno, CA

Q: What is Robert Macdonald's NPI number?

The NPI number for Robert Macdonald is 1053476887. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Q: What is Robert Macdonald's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Macdonald was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 December 22, 2006PECOS EnrolledAccepts Medicare Assignment

84/100

CMS Quality Rating

45 E RIVER PARK PL W STE 104, FRESNO, CA 93720(559) 320-0530(559) 320-0532 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 7, 2019, Apr 1, 2019, Feb 25, 2019 (3 updates tracked since 2019).

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About Robert L. Macdonald Md NPPES

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

ROBERT L. MACDONALD MD (NPI 1053476887) is an individual neurological surgery provider in Fresno, California, licensed in California (G152971) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (1985).

NPPES Registry Identity

NPI1053476887

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameROBERT L. MACDONALDCredential: MD

Location Address45 E RIVER PARK PL W STE 104Fresno, CA 93720-1565

Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681

Phone(559) 320-0530

Fax(559) 320-0532

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1985

Enumeration DateDecember 22, 2006

Last NPPES UpdateNovember 7, 20193 updates tracked since enumeration

✔ NPI 1053476887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in CA · G152971

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

45 E RIVER PARK PL W STE 104, Fresno, CA 93720

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Other Identifiers 1

Medicaid036085462IL

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

Robert L. Macdonald 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 ID2567702152

PECOS Enrollment IDI20190711001060

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 Robert Macdonald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Partners

1.2 mi

Multi-Specialty

7257 N FRESNO ST
Fresno, CA 93720

Reassigned Medicare billing, California enrollment
604 clinicians in this Medicare group

NPI 1952912420 (559) 324-4952

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 4

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 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.

44 services40 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.

33 services32 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.

18 services18 patients

Use of operating microscope 69990

An operating microscope is a device that magnifies small areas, allowing surgeons to see fine details clearly during procedures. It's often used for delicate operations like eye or nerve surgery, improving precision and outcomes.

14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

84/100

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

Scored as part of a group practice

Quality

76.27

Promoting Interoperability

100

Improvement Activities

Cost

57.88

Other Providers at the Same Location NPPES 8

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

NATHAN DEIS MD

Neurological Surgery