1. Home
  2. Directory
  3. Massachusetts
  4. Plymouth
  5. Nurse Practitioner
  6. NPI Profile

MICHAEL PATRICK MACDONALD NP
NPI 1124597588
Nurse Practitioner - Primary Care in Plymouth, MA

Active since November 15, 2018PECOS Enrolled
1 BUMPS POND ROAD, PLYMOUTH, MA 02360(508) 291-2441 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Patrick Macdonald Np NPPES

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

MICHAEL PATRICK MACDONALD NP (NPI 1124597588) is an individual primary care provider in Plymouth, Massachusetts, licensed in Massachusetts (RN2312494) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124597588
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMICHAEL PATRICK MACDONALDCredential: NP
Location Address1 BUMPS POND ROADPlymouth, MA 02360
Mailing Address11 Gibbens StWeymouth, MA 02188-2608 · (781) 858-5578
Phone(508) 291-2441
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 15, 2018
✔ NPI 1124597588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MA · RN2312494
1 BUMPS POND ROAD, Plymouth, MA 02360
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Patrick Macdonald Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082047394
PECOS Enrollment IDI20191127000340
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.

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
113 services21 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
107 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services15 patients
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.
44 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02360 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Reported Quality Measures

Breast Cancer Screening
0%35 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%122 patients1/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
75%1,587 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
10%177 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%143 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%482 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 354 patients
0%354 patients
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 2

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

PAUL ANTHONY CARATAZZOLA
Social Worker (Clinical)
1 BUMPS POND ROAD
PLYMOUTH, MA 02360
Plymouth County (508) 291-2441
DR. JILL MONIQUE HARRISON M.D.
Psychiatry & Neurology (Psychiatry)
1 BUMPS POND ROAD
PLYMOUTH, MA 02360
Plymouth County (508) 291-2441

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 Michael Macdonald's NPI number?

The NPI number for Michael Macdonald is 1124597588. It was assigned to this individual provider in the NPPES registry on November 15, 2018.

Where is Michael Macdonald located?

Michael Macdonald practices at 1 Bumps Pond Road, Plymouth, MA 02360. The listed phone number is (508) 291-2441.

What is Michael Macdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Michael Macdonald enrolled in Medicare?

Yes. Michael Macdonald is registered in the Medicare PECOS enrollment system.

What insurance does Michael Macdonald accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Macdonald 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 Michael Macdonald was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.