STEPHEN L MCDONALD
NPI 1093159444
Psychiatry & Neurology - Neurology in Fort Myers, FL

Active since April 28, 2013PECOS EnrolledAccepts Medicare Assignment
88.18/100
CMS Quality Rating
11215 METRO PKWY STE 100, FORT MYERS, FL 33966(239) 208-2212 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2025, Apr 2, 2025, Feb 11, 2025 and 5 more (8 updates tracked since 2017).

About Stephen L Mcdonald NPPES

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

STEPHEN L MCDONALD (NPI 1093159444) is an individual neurology provider in Fort Myers, Florida, licensed in Florida (ME168010) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1093159444
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSTEPHEN L MCDONALD
Location Address11215 METRO PKWY STE 100Fort Myers, FL 33966-1206
Mailing Address2146 Belcourt AveNashville, TN 37212-3504
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2013
Enumeration DateApril 28, 2013
Last NPPES UpdateJune 16, 20258 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1093159444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in FL · ME168010 Licensed in TN · 55683 Licensed in MO · 2024045767 Licensed in WA · MD61558083 Licensed in OR · MD220453 Licensed in OH · 35C.001548
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedHospitalistTaxonomy 208M00000X · License ME168010 (FL)
11215 METRO PKWY STE 100, Fort Myers, FL 33966

Secondary Practice Locations 4

Location 12790 Clay Edwards Dr Ste 1235North Kansas City, MO 64116-3276 · Phone (816) 472-5157 · Fax (816) 472-7201
Location 22801 N Gantenbein AvePortland, OR 97227-1623 · Phone (503) 413-2200
Location 3630 Eaton AveHamilton, OH 45013-2767 · Phone (513) 867-2000
Location 43443 Dickerson Pike Ste 580Nashville, TN 37207-2526 · Phone (615) 860-1040

Other Identifiers 1

Medicaid122181500FL

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

Stephen L Mcdonald 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 ID3779857735
PECOS Enrollment IDI20240529003033, I20240717003667, I20240805004203, I20240809000553, I20241112000679, I20241119000040, I20241226000982, I20250109003004
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 8

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
91 services47 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services36 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
24 services23 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.
21 services17 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
19 services19 patients
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100156
Location340 NW Commerce DrLake City, FL 32055 · Columbia County
Emergency services

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Christus Spohn Hospital Corpus Christi

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450046
Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33966 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

88.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.6
Promoting Interoperability100
Improvement Activities40
Cost53.34

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%286 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%26 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 20

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

Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 100
FORT MYERS, FL 33966
Case Manager/Care Coordinator
11215 METRO PKWY STE 100
FORT MYERS, FL 33966

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 Stephen Mcdonald's NPI number?

The NPI number for Stephen Mcdonald is 1093159444. It was assigned to this individual provider in the NPPES registry on April 28, 2013.

Where is Stephen Mcdonald located?

Stephen Mcdonald practices at 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966. The listed phone number is (239) 208-2212.

What is Stephen Mcdonald's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Stephen Mcdonald enrolled in Medicare?

Yes. Stephen 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 Stephen Mcdonald accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Montana and 12 other insurers list Stephen 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 Stephen Mcdonald affiliated with any hospitals?

According to CMS data, Stephen Mcdonald is affiliated with Adventhealth Orlando, Hca Florida Lake City Hospital, Christus St Vincent Regional Medical Center, Mcleod Regional Medical Center-Pee Dee and Christus Spohn Hospital Corpus Christi.

When was this NPI record last updated?

The NPPES record for Stephen Mcdonald was last updated on June 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.