BRIAN F MCDONALD MD
NPI 1184668790
Internal Medicine in East Stroudsburg, PA

Active since June 15, 2006PECOS Enrolled
95.64/100
CMS Quality Rating
239 E BROWN ST, EAST STROUDSBURG, PA 18301(570) 421-3872(570) 424-6631 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brian F Mcdonald Md NPPES

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

BRIAN F MCDONALD MD (NPI 1184668790) is an individual internal medicine provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (MD056778L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184668790
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRIAN F MCDONALDCredential: MD
Location Address239 E BROWN STEast Stroudsburg, PA 18301
Mailing Address239 E Brown StEast Stroudsburg, PA 18301 · (570) 421-3872 · Fax (570) 424-6631
Fax(570) 424-6631
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateOctober 13, 2015
NPI 1184668790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD056778L
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.
239 E BROWN ST, East Stroudsburg, PA 18301

Other Identifiers 2

Medicaid0015506120002PA
Medicare UPINA64660

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brian F Mcdonald Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
22 suppliers128 claims285 services$5.72 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers30 claims35 services$1.02 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims15 services$7.75 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier18 claims18 services$32.57 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers15 claims15 services$97.86 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers13 claims33 services$36.96 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 17

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

Internal Medicine (Pulmonary Disease)
239 E BROWN ST
EAST STROUDSBURG, PA 18301
Physician Assistant
239 E BROWN ST
EAST STROUDSBURG, PA 18301
Internal Medicine (Cardiovascular Disease)
239 E BROWN ST, MEDICAL ASSOC OF MONROE COUNTY
EAST STROUDSBURG, PA 18301
Physician Assistant
239 E BROWN ST
EAST STROUDSBURG, PA 18301
Nurse Practitioner
239 E BROWN ST
EAST STROUDSBURG, PA 18301
Internal Medicine
239 E BROWN ST
EAST STROUDSBURG, PA 18301
Physician Assistant (Medical)
239 E BROWN ST
EAST STROUDSBURG, PA 18301
Psychiatry & Neurology (Neurology)
239 E BROWN ST
EAST STROUDSBURG, PA 18301

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 Brian Mcdonald's NPI number?

The NPI number for Brian Mcdonald is 1184668790. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Brian Mcdonald located?

Brian Mcdonald practices at 239 E Brown St, East Stroudsburg, PA 18301. The listed phone number is (570) 421-3872.

What is Brian Mcdonald's specialty?

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

Is Brian Mcdonald enrolled in Medicare?

Yes. Brian Mcdonald is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Mcdonald was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.