MARK G MACDONALD MD
NPI 1124080791
Family Medicine in Saint Paul, MN
About Mark G Macdonald Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK G MACDONALD MD (NPI 1124080791) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (40313) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark G Macdonald 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.
Medicare Billing Reassignments
4Medicare enrollment records show Mark Macdonald reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 50 clinicians in this Medicare group
Columbia, MD 21045
- Reassigned Medicare billing, Minnesota enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNEssentia Health Virginia
Acute Care Hospitals · Virginia, MNEssentia Health Deer River
Critical Access Hospitals · Deer River, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT PAUL, MN 55104
SAINT PAUL, MN 55104
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 Mark Macdonald's NPI number?
The NPI number for Mark Macdonald is 1124080791. It was assigned to this individual provider in the NPPES registry on April 6, 2006.
Where is Mark Macdonald located?
Mark Macdonald practices at 1700 University Ave W Fl 1, Saint Paul, MN 55104. The listed phone number is (651) 232-2002.
What is Mark Macdonald's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mark Macdonald enrolled in Medicare?
Yes. Mark 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.
Which organizations bill Medicare for Mark Macdonald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Macdonald reassigns Medicare benefits to 4 organizations: Fairview Clinics (Saint Paul, MN), Healtheast Medical Research Institute (Saint Paul, MN), Aeris Medical Group PLLC (St Louis Park, MN) and Provider Partners Care Management LP (Columbia, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Macdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mark Macdonald affiliated with any hospitals?
According to CMS data, Mark Macdonald is affiliated with Park Nicollet Methodist Hospital, Essentia Health Virginia and Essentia Health Deer River.
When was this NPI record last updated?
The NPPES record for Mark Macdonald was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mark G Macdonald, MD · NPI 1124080791
Family Medicine physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since April 6, 2006.
## Identity
- **NPI:** 1124080791 (Entity type: Individual)
- **Enumerated:** April 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 40313 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1700 UNIVERSITY AVE W FL 1, Saint Paul, MN 55104-3727
- **Phone:** (651) 232-2002 · **Fax:** (651) 232-2031
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Fairview Clinics (NPI 1215129853, Saint Paul, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN); Aeris Medical Group PLLC (NPI 1184228520, St Louis Park, MN); Provider Partners Care Management LP (NPI 1013348028, Columbia, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New England, College Of Osteo Medicine, class of 1996
## Record status
- **NPPES last updated:** October 22, 2018
- **Other identifiers:** Medicaid 848182200 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1124080791) · Data from the CMS NPPES public registry.