DOROTHY E MCDONALD APRN-CNP
NPI 1134549363
Nurse Practitioner in Columbus, OH

Active since April 28, 2014PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
460 W 10TH AVE, COLUMBUS, OH 43210(614) 293-7171(614) 293-3465 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Jan 3, 2025, Apr 1, 2019 and 4 more (7 updates tracked since 2015).

About Dorothy E Mcdonald Aprn-cnp NPPES

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

DOROTHY E MCDONALD APRN-CNP (NPI 1134549363) is an individual nurse practitioner in Columbus, Ohio, licensed in Ohio (APRN.CNP.15752) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1134549363
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDOROTHY E MCDONALDCredential: APRN-CNP
Location Address460 W 10TH AVEColumbus, OH 43210-1240
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-7171 · Fax (614) 293-3465
Fax(614) 293-3465
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 28, 2014
Last NPPES UpdateMay 19, 20267 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1134549363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OH · APRN.CNP.15752
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN.CNP.15752 (OH)
460 W 10TH AVE, Columbus, OH 43210

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

Dorothy E Mcdonald Aprn-cnp 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 ID749404705
PECOS Enrollment IDI20140612001504
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.

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
460 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Internal Medicine (Hospice and Palliative Medicine)
460 W 10TH AVE
COLUMBUS, OH 43210
Internal Medicine (Hematology)
460 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner (Family)
460 W 10TH AVE
COLUMBUS, OH 43210
Hospitalist
460 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210

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 Dorothy Mcdonald's NPI number?

The NPI number for Dorothy Mcdonald is 1134549363. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Where is Dorothy Mcdonald located?

Dorothy Mcdonald practices at 460 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-7171.

What is Dorothy Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dorothy Mcdonald enrolled in Medicare?

Yes. Dorothy 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 Dorothy Mcdonald accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource list Dorothy 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 Dorothy Mcdonald affiliated with any hospitals?

According to CMS data, Dorothy Mcdonald is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Dorothy Mcdonald was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.