MEGAN S MACDONALD P.T.
NPI 1073897146
Physical Therapist in Ocean View, DE

Active since October 06, 2011Accepts Medicare Assignment
29 ATLANTIC AVE, SUITE N, OCEAN VIEW, DE 19970(302) 541-5705(302) 541-5706 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Megan S Macdonald P.t. NPPES

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

MEGAN S MACDONALD P.T. (NPI 1073897146) is an individual physical therapist in Ocean View, Delaware, licensed in Delaware (J1-0002046) and active in the NPI registry since October 2011. She maintains a secondary practice location in Millsboro and is a graduate of Other (2000).

NPPES Registry Identity

NPI1073897146
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMEGAN S MACDONALDCredential: P.T.
Location Address29 ATLANTIC AVE, SUITE NOcean View, DE 19970-9155
Mailing Address408 N Creek CirDagsboro, DE 19939-9246 · (302) 858-2012
Fax(302) 541-5706
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 6, 2011
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
NPI 1073897146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in DE · J1-0002046
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
29 ATLANTIC AVE, Ocean View, DE 19970

Secondary Practice Location 1

Location 1395 Old Landing RdMillsboro, DE 19966-1286 · Phone (302) 934-3922

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

Megan S Macdonald P.t. 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 ID3577737782
PECOS Enrollment IDI20111129000076

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.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,178 services202 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
975 services174 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
765 services166 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
760 services154 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
189 services50 patients
Application of mechanical traction 97012
Mechanical traction is a therapy method often used to alleviate back and neck pain. It involves a special machine that gently stretches your spine, reducing pressure on your discs and nerves. This process can help improve mobility, and relieve discomfort.
83 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19970 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%52 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Physical Therapist
29 ATLANTIC AVE
OCEAN VIEW, DE 19970
Physical Therapist
29 ATLANTIC AVE
OCEAN VIEW, DE 19970
Physical Therapist
29 ATLANTIC AVE
OCEAN VIEW, DE 19970

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 Megan Macdonald's NPI number?

The NPI number for Megan Macdonald is 1073897146. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Where is Megan Macdonald located?

Megan Macdonald practices at 29 Atlantic Ave Suite N, Ocean View, DE 19970. The listed phone number is (302) 541-5705.

What is Megan Macdonald's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Megan Macdonald enrolled in Medicare?

Yes. Megan Macdonald 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 Megan Macdonald accept?

Health plans from AmeriHealth Caritas Next list Megan Macdonald 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 Megan Macdonald was last updated on March 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.