THOMAS C MCDONALD MD
NPI 1124098488
Internal Medicine in Lexington, TN

Q: What is Thomas Mcdonald's NPI number?

The NPI number for Thomas Mcdonald is 1124098488. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is Thomas Mcdonald's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Mcdonald was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment

48.71/100

CMS Quality Rating

200 W CHURCH ST, LEXINGTON, TN 38351(731) 968-3646(731) 968-1870 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Thomas C Mcdonald Md NPPES

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

THOMAS C MCDONALD MD (NPI 1124098488) is an individual internal medicine provider in Lexington, Tennessee, licensed in Tennessee (23828) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124098488

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameTHOMAS C MCDONALDCredential: MD

Location Address200 W CHURCH STLexington, TN 38351-2038

Mailing Address200 W Church StLexington, TN 38351-2038 · (731) 968-3646 · Fax (731) 968-1870

Phone(731) 968-3646

Fax(731) 968-1870

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1994

Enumeration DateJanuary 26, 2006

Last NPPES UpdateJune 14, 2024

NPPES CertifiedJune 6, 2024

✔ NPI 1124098488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TN · 23828

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 23838 (TN)

Also ListedFamily MedicineTaxonomy 207Q00000X · License 23828 (TN)

Also ListedPediatricsTaxonomy 208000000X · License 23828 (TN)

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 23838 (TN)

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 23828 (TN)

Also ListedSurgeryTaxonomy 208600000X · License 23828 (TN)

200 W CHURCH ST, Lexington, TN 38351

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Secondary Practice Locations 3

Location 1270 W Church St, Suite ALexington, TN 38351-2077 · Phone (731) 968-9965 · Fax (731) 968-1940

Location 25001 E Main StErin, TN 37061-4115 · Phone (336) 944-6420

Location 32545 N Washington AveBrownsville, TN 38012-1610 · Phone (931) 289-4211

Other Identifiers 1

Other4118454TN · Bcbs

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

Thomas C Mcdonald 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.

PECOS PAC ID8527972603

PECOS Enrollment IDI20031113000353

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 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.

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.

540 services220 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.

271 services233 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

271 services232 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

21 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

Henderson County Community Hospital

Acute Care Hospitals · Lexington, TN

OwnershipProprietary

CMS Certification Number440008

Location200 W Church StLexington, TN 38351 · Henderson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38351 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

48.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

Cost

96.71

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers69 claims69 services$18.55 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers110 claims110 services$103.73 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers19 claims19 services$36.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LEXINGTON HOSPITAL CORPORATION

Family Medicine