DR. DAVID ROBERT MCDONALD MD
NPI 1073616561
Obstetrics & Gynecology in Lihue, HI

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
83.15/100
CMS Quality Rating
3-3420 KUHIO HWY, LIHUE, HI 96766(808) 245-1511(808) 246-1364 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Robert Mcdonald Md NPPES

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

DR. DAVID ROBERT MCDONALD MD (NPI 1073616561) is an individual obstetrics & gynecology provider in Lihue, Hawaii, licensed in Hawaii (MD-7547) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1977).

NPPES Registry Identity

NPI1073616561
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. DAVID ROBERT MCDONALDCredential: MD
Location Address3-3420 KUHIO HWYLihue, HI 96766-1042
Mailing Address3-3420 Kuhio HighwayLihue, HI 96766 · (808) 245-1511 · Fax (808) 246-1364
Fax(808) 246-1364
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1977
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1073616561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in HI · MD-7547
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3-3420 KUHIO HWY, Lihue, HI 96766

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

Dr. David Robert Mcdonald 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 ID1557328291
PECOS Enrollment IDI20041215000085
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
33 services33 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
29 services29 patients
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.
18 services13 patients

Hospital Affiliations CMS Care Compare

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

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96766 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

83.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.12
Promoting Interoperability100
Improvement Activities40
Cost69.73

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Obstetrics & Gynecology
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Hospitalist
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Emergency Medicine
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Radiology (Diagnostic Radiology)
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Registered Nurse (Diabetes Educator)
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Anesthesiology
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 96766
Internal Medicine
3-3420 KUHIO HWY
LIHUE, HI 96766

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 David Mcdonald's NPI number?

The NPI number for David Mcdonald is 1073616561. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is David Mcdonald located?

David Mcdonald practices at 3-3420 Kuhio Hwy, Lihue, HI 96766. The listed phone number is (808) 245-1511.

What is David Mcdonald's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is David Mcdonald enrolled in Medicare?

Yes. David 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 David Mcdonald accept?

Health plans from HMSA list David 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 David Mcdonald affiliated with any hospitals?

According to CMS data, David Mcdonald is affiliated with Wilcox Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Mcdonald was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.