EMMANUEL MCDONALD DO
NPI 1063944551
Internal Medicine - Gastroenterology in Kissimmee, FL

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
2400 N ORANGE BLOSSOM TRL STE 302, KISSIMMEE, FL 34744(407) 932-6193(407) 932-6194 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emmanuel Mcdonald Do NPPES

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

EMMANUEL MCDONALD DO (NPI 1063944551) is an individual gastroenterology provider in Kissimmee, Florida, licensed in Florida (OS15591) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of West Virginia School Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1063944551
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameEMMANUEL MCDONALDCredential: DO
Location Address2400 N ORANGE BLOSSOM TRL STE 302Kissimmee, FL 34744-2308
Mailing Address2400 N Orange Blossom Trl Ste 302Kissimmee, FL 34744-2308 · (407) 932-6193 · Fax (407) 932-6194
Fax(407) 932-6194
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedJune 4, 2021
NPI 1063944551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · OS15591
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS15591 (FL)
2400 N ORANGE BLOSSOM TRL STE 302, Kissimmee, FL 34744

Accepted 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

Emmanuel Mcdonald Do 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 ID9335416445
PECOS Enrollment IDI20181102002072
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 9

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
39 services32 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
25 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
18 services17 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 patients
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.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34744 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES 12

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

Physician Assistant
2400 N ORANGE BLOSSOM TRL STE 302
KISSIMMEE, FL 34744
Nurse Practitioner (Primary Care)
2400 N ORANGE BLOSSOM TRL STE 302
KISSIMMEE, FL 34744
Nurse Practitioner (Family)
2400 N ORANGE BLOSSOM TRL STE 302
KISSIMMEE, FL 34744
Nurse Practitioner (Family)
2400 N ORANGE BLOSSOM TRL STE 302
KISSIMMEE, FL 34744
Nurse Practitioner (Family)
2400 N ORANGE BLOSSOM TRL STE 302
KISSIMMEE, FL 34744
Nurse Practitioner (Family)
2400 N ORANGE BLOSSOM TRL STE 302
KISSIMMEE, FL 34744
Nurse Practitioner (Family)
2400 N ORANGE BLOSSOM TRL STE 302
KISSIMMEE, FL 34744
Internal Medicine (Gastroenterology)
2400 N ORANGE BLOSSOM TRL STE 302
KISSIMMEE, FL 34744

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 Emmanuel Mcdonald's NPI number?

The NPI number for Emmanuel Mcdonald is 1063944551. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Emmanuel Mcdonald located?

Emmanuel Mcdonald practices at 2400 N Orange Blossom Trl Ste 302, Kissimmee, FL 34744. The listed phone number is (407) 932-6193.

What is Emmanuel Mcdonald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Emmanuel Mcdonald enrolled in Medicare?

Yes. Emmanuel 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 Emmanuel Mcdonald accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Emmanuel 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 Emmanuel Mcdonald affiliated with any hospitals?

According to CMS data, Emmanuel Mcdonald is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Emmanuel Mcdonald was last updated on August 2, 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.