DR. MICHAEL K MACDONALD M.D.
NPI 1144398512
Ophthalmology in San Mateo, CA

Active since December 01, 2006PECOS Enrolled
80/100
CMS Quality Rating
50 S SAN MATEO DR, SUITE 200, SAN MATEO, CA 94401(650) 342-4595(650) 342-3932 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael K Macdonald M.d. NPPES

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

DR. MICHAEL K MACDONALD M.D. (NPI 1144398512) is an individual ophthalmology provider in San Mateo, California, licensed in California (G28778) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144398512
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MICHAEL K MACDONALDCredential: M.D.
Location Address50 S SAN MATEO DR, SUITE 200San Mateo, CA 94401-3857
Mailing Address50 S San Mateo Dr, Suite 200San Mateo, CA 94401-3857 · (650) 342-4595 · Fax (650) 342-3932
Fax(650) 342-3932
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1144398512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G28778
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

50 S SAN MATEO DR, San Mateo, CA 94401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michael K Macdonald M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
655 services632 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
520 services300 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
418 services324 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
357 services301 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
317 services288 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
47 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94401 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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.

80/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost33.35

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.

Family Medicine
50 S SAN MATEO DR, SUITE 230
SAN MATEO, CA 94401
Family Medicine
50 S SAN MATEO DR, 230
SAN MATEO, CA 94401
Family Medicine
50 S SAN MATEO DR, SUITE 230
SAN MATEO, CA 94401
Pediatrics
50 S SAN MATEO DR, STE 260
SAN MATEO, CA 94401
Otolaryngology
50 S SAN MATEO DR, SUITE 320
SAN MATEO, CA 94401
Specialist
50 S SAN MATEO DR, SUITE 370
SAN MATEO, CA 94401
Pediatrics
50 S SAN MATEO DR, STE 180
SAN MATEO, CA 94401
Internal Medicine
50 S SAN MATEO DR, SUITE490
SAN MATEO, CA 94401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144398512, enumerated as an "individual" on December 01, 2006.

The provider is located at 50 S SAN MATEO DR SUITE 200 SAN MATEO, CA 94401 and the phone number is (650) 342-4595.

Ophthalmology with taxonomy code 207W00000X.