DR. PATRICK M MCDONOUGH DDS
NPI 1114941275
Dentist - Periodontics in Trent Woods, NC

Active since July 26, 2006Opted out of Medicare · through Apr 30, 2028
2808 VILLAGE WAY, TRENT WOODS, NC 28562(252) 633-1631 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Patrick M Mcdonough Dds NPPES

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

DR. PATRICK M MCDONOUGH DDS (NPI 1114941275) is an individual periodontics provider in Trent Woods, North Carolina, licensed in North Carolina (7685) and active in the NPI registry since July 2006. He has opted out of Medicare through April 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114941275
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. PATRICK M MCDONOUGHCredential: DDS
Location Address2808 VILLAGE WAYTrent Woods, NC 28562
Mailing Address2808 Village WayTrent Woods, NC 28562 · (252) 633-1631
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateNovember 22, 2019
NPI 1114941275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in NC · 7685
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2808 VILLAGE WAY, Trent Woods, NC 28562

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Patrick M Mcdonough Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 30, 2018 through April 30, 2028.

Opt-Out Effective DateApril 30, 2018
Opt-Out In Effect ThroughApril 30, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

Dentist (Periodontics)
2808 VILLAGE WAY
TRENT WOODS, NC 28562
Dentist (Periodontics)
2808 VILLAGE WAY
TRENT WOODS, NC 28562
Dentist (Periodontics)
2808 VILLAGE WAY
TRENT WOODS, NC 28562

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 Patrick Mcdonough's NPI number?

The NPI number for Patrick Mcdonough is 1114941275. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Patrick Mcdonough located?

Patrick Mcdonough practices at 2808 Village Way, Trent Woods, NC 28562. The listed phone number is (252) 633-1631.

What is Patrick Mcdonough's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Patrick Mcdonough enrolled in Medicare?

No. Patrick Mcdonough has opted out of Medicare through April 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Patrick Mcdonough accept?

Health plans from Humana list Patrick 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.

When was this NPI record last updated?

The NPPES record for Patrick Mcdonough was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.