COLIN ARTHUR MCDONALD MD
NPI 1164915724
Family Medicine in Columbia, MO

Active since June 08, 2018PECOS EnrolledAccepts Medicare Assignment
1 HOSPITAL DR # DC032.00, COLUMBIA, MO 65212(573) 214-2314(573) 814-2784 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Colin Arthur Mcdonald Md NPPES

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

COLIN ARTHUR MCDONALD MD (NPI 1164915724) is an individual family medicine provider in Columbia, Missouri, licensed in Missouri (2021009094) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Boone Hospital Center, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1164915724
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCOLIN ARTHUR MCDONALDCredential: MD
Location Address1 HOSPITAL DR # DC032.00Columbia, MO 65212-1000
Mailing Address1 Hospital Dr # Dc032.00Columbia, MO 65212-1000 · (573) 214-2314 · Fax (573) 814-2784
Fax(573) 814-2784
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2018
Enumeration DateJune 8, 2018
Last NPPES UpdateJune 11, 2021
NPPES CertifiedJune 11, 2021
NPI 1164915724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MO · 2021009094 Licensed in MO · 2018018745
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 HOSPITAL DR # DC032.00, Columbia, MO 65212

Secondary Practice Location 1

Location 11001 W Worley StColumbia, MO 65203-2037 · Phone (844) 853-8937

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

Colin Arthur 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 ID6103171848
PECOS Enrollment IDI20210616001446
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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
27 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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
1 supplier12 claims12 services$19.50 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
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers18 claims18 services$205.08 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 4

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

Family Medicine
1 HOSPITAL DR # DC032.00
COLUMBIA, MO 65212
Family Medicine
1 HOSPITAL DR # DC032.00
COLUMBIA, MO 65212
Internal Medicine (Hospice and Palliative Medicine)
1 HOSPITAL DR # DC032.00
COLUMBIA, MO 65212
Family Medicine
1 HOSPITAL DR # DC032.00
COLUMBIA, MO 65212

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 Colin Mcdonald's NPI number?

The NPI number for Colin Mcdonald is 1164915724. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Colin Mcdonald located?

Colin Mcdonald practices at 1 Hospital Dr # Dc032.00, Columbia, MO 65212. The listed phone number is (573) 214-2314.

What is Colin Mcdonald's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Colin Mcdonald enrolled in Medicare?

Yes. Colin 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 Colin Mcdonald accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Colin 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 Colin Mcdonald affiliated with any hospitals?

According to CMS data, Colin Mcdonald is affiliated with Boone Hospital Center and University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for Colin Mcdonald was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.