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MELISSA MARIE MACDONALD M.D.
NPI 1194143370
Internal Medicine - Pulmonary Disease in Madison, WI

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831, MADISON, WI 53792(608) 263-7352 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2021, Jul 6, 2020 (2 updates tracked since 2020).

About Melissa Marie Macdonald M.d. NPPES

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

MELISSA MARIE MACDONALD M.D. (NPI 1194143370) is an individual pulmonary disease provider in Madison, Wisconsin, licensed in Wisconsin (64883) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Ohio State University College Of Medicine (2014).

NPPES Registry Identity

NPI1194143370
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameMELISSA MARIE MACDONALDCredential: M.D.
Location AddressUW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831Madison, WI 53792-0001
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531 · (608) 829-5485
Phone(608) 263-7352
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2014
Enumeration DateApril 3, 2014
Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
✔ NPI 1194143370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in WI · 64883
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 64883 (WI)
UW HOSPITAL AND CLINICS, Madison, WI 53792
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

Melissa Marie Macdonald M.d. 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 ID9234354598
PECOS Enrollment IDI20200709000036
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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
69 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services27 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.
42 services34 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services19 patients
Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
23 services20 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.
20 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

DINA MARIE PITTA MD
Surgery
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6400
CAN M SAVASMAN M.D.
Student in an Organized Health Care Education/Training Program
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831
MADISON, WI 53792
Dane County (608) 262-7158
JUDITH NIR M.D.
Student in an Organized Health Care Education/Training Program
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831
MADISON, WI 53792
Dane County (608) 263-0572
MADELYN KAY ALVAREZ MD
Internal Medicine
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831
MADISON, WI 53792
Dane County (608) 263-5660
DR. IAN JOSEPH KOSZEWSKI M.D.
Otolaryngology
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831
MADISON, WI 53792
Dane County (608) 263-0192
DR. AMIN AFRAZI MD,PH.D
Surgery
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831
MADISON, WI 53792
Dane County (608) 263-1377
DANIEL R MATSON
Pathology (Hematology)
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVENUE
MADISON, WI 53792
Dane County (608) 263-8443
MEGAN E PETERS M.D.
Pediatrics (Pediatric Critical Care Medicine)
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8049

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 Melissa Macdonald's NPI number?

The NPI number for Melissa Macdonald is 1194143370. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Melissa Macdonald located?

Melissa Macdonald practices at Uw Hospital And Clinics 600 Highland Ave, H4/831, Madison, WI 53792. The listed phone number is (608) 263-7352.

What is Melissa Macdonald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Melissa Macdonald enrolled in Medicare?

Yes. Melissa Macdonald 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 Melissa Macdonald accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Melissa 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.

Is Melissa Macdonald affiliated with any hospitals?

According to CMS data, Melissa Macdonald is affiliated with Uw Health, Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Melissa Macdonald was last updated on February 3, 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.