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DR. MICHEL M MCDONOUGH M.D.
NPI 1083652879
Obstetrics & Gynecology in Augusta, GA

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
1430 HARPER ST, BLDG A, AUGUSTA, GA 30901(706) 724-2261(706) 724-2523 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michel M Mcdonough M.d. NPPES

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

DR. MICHEL M MCDONOUGH M.D. (NPI 1083652879) is an individual obstetrics & gynecology provider in Augusta, Georgia, licensed in Georgia (036820) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (1991).

NPPES Registry Identity

NPI1083652879
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MICHEL M MCDONOUGHCredential: M.D.
Location Address1430 HARPER ST, BLDG AAugusta, GA 30901-0617
Mailing Address1430 Harper St, Bldg AAugusta, GA 30901-0617 · (706) 724-2261 · Fax (706) 724-2523
Phone(706) 724-2261
Fax(706) 724-2523
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1991
Enumeration DateJune 3, 2006
Last NPPES UpdateJuly 12, 2011
✔ NPI 1083652879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 036820
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.
1430 HARPER ST, Augusta, GA 30901
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Other Identifiers 3

Medicare UPING05399GA
Medicare ID-Type Unspecified16BDDZMGA
Medicaid000655817AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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. Michel M Mcdonough 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 ID7315030392
PECOS Enrollment IDI20110913000058
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.

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.
286 services244 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
235 services235 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
164 services164 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
164 services164 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
100 services100 patients
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.
58 services58 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%203 patients5/55-star benchmark: 100%
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…
99%289 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
98%263 patients5/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
99%281 patients4/55-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 12

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

OBSTETRICS AND GYNECOLOGY ASSOCIATES OF AUGUSTA, PC
Obstetrics & Gynecology
1430 HARPER ST, BUILDING A
AUGUSTA, GA 30901
Richmond County (706) 724-2261
DR. CARLA MORGAN-GIBBS M.D.
Obstetrics & Gynecology
1430 HARPER ST, BLDG A
AUGUSTA, GA 30901
Richmond County (706) 724-2261
DR. EDWARD TERRELL WILLS D.O.
Surgery
1430 HARPER ST, STE B
AUGUSTA, GA 30901
Richmond County (706) 724-5451
DR. TANIA SERRANO M.D.
Obstetrics & Gynecology
1430 HARPER ST, BLDG A
AUGUSTA, GA 30901
Richmond County (706) 724-2261
MATTHEW M. MONDI, P.C.
Surgery
1430 HARPER ST, BUILDING B
AUGUSTA, GA 30901
Richmond County (706) 724-5451
DR. GLORIA D GARNER AU.D.
Audiologist
1430 HARPER ST, SUITE C3
AUGUSTA, GA 30901
Richmond County (706) 774-8666
RALPH BROOKS SCURRY JR. M.D.
Surgery
1430 HARPER ST, BUILDING B
AUGUSTA, GA 30901
Richmond County (706) 724-5451
DR. JAY NEWTON BATES JR. M.D.
Surgery
1430 HARPER ST, BUILDING B
AUGUSTA, GA 30901
Richmond County (706) 724-5451

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 Michel Mcdonough's NPI number?

The NPI number for Michel Mcdonough is 1083652879. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Michel Mcdonough located?

Michel Mcdonough practices at 1430 Harper St Bldg A, Augusta, GA 30901. The listed phone number is (706) 724-2261.

What is Michel Mcdonough's specialty?

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

Is Michel Mcdonough enrolled in Medicare?

Yes. Michel Mcdonough 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 Michel Mcdonough accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Michel Mcdonough 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 Michel Mcdonough affiliated with any hospitals?

According to CMS data, Michel Mcdonough is affiliated with Piedmont Augusta Hospital and Aiken Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michel Mcdonough was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.