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DONALD MCPHERSON NP
NPI 1215268586
Nurse Practitioner - Family in Hazard, KY

Active since January 26, 2010PECOS EnrolledAccepts Medicare Assignment
145 CITIZENS LANE, SUITE B, HAZARD, KY 41702(606) 439-1300(606) 439-1400 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donald Mcpherson Np NPPES

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

DONALD MCPHERSON NP (NPI 1215268586) is an individual family provider in Hazard, Kentucky, licensed in Kentucky (6344P) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Hazard Arh Regional Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1215268586
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDONALD MCPHERSONCredential: NP
Location Address145 CITIZENS LANE, SUITE BHazard, KY 41702-1988
Mailing AddressPo Box 1988Hazard, KY 41702-1988 · (606) 435-7642 · Fax (606) 436-5282
Phone(606) 439-1300
Fax(606) 439-1400
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 26, 2010
Last NPPES UpdateJune 20, 2011
✔ NPI 1215268586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 6344P
145 CITIZENS LANE, Hazard, KY 41702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Donald Mcpherson Np 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 ID1557497799
PECOS Enrollment IDI20100327000050
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.

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41702 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 2

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
2 suppliers11 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
2 suppliers11 claims12 services$109.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Donald Mcpherson's NPI number?

The NPI number for Donald Mcpherson is 1215268586. It was assigned to this individual provider in the NPPES registry on January 26, 2010.

Where is Donald Mcpherson located?

Donald Mcpherson practices at 145 Citizens Lane Suite B, Hazard, KY 41702. The listed phone number is (606) 439-1300.

What is Donald Mcpherson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Donald Mcpherson enrolled in Medicare?

Yes. Donald Mcpherson 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 Donald Mcpherson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Donald Mcpherson 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 Donald Mcpherson affiliated with any hospitals?

According to CMS data, Donald Mcpherson is affiliated with Hazard Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Donald Mcpherson was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.