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DR. CHAD EVERETT MCDONALD OD
NPI 1215909643
Optometrist in Newburyport, MA

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
33 LOW ST, NEWBURYPORT, MA 01950(978) 462-2020(978) 462-4263 Get Directions Write a Review

NPPES record last updated: October 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Chad Everett Mcdonald Od NPPES

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

DR. CHAD EVERETT MCDONALD OD (NPI 1215909643) is an individual optometrist in Newburyport, Massachusetts, licensed in Massachusetts (4087) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1215909643
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CHAD EVERETT MCDONALDCredential: OD
Location Address33 LOW STNewburyport, MA 01950-4048
Mailing Address33 Low StNewburyport, MA 01950-4048 · (978) 462-2020 · Fax (978) 462-4263
Phone(978) 462-2020
Fax(978) 462-4263
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 1, 2006
Last NPPES UpdateOctober 1, 2012
✔ NPI 1215909643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · 4087
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
33 LOW ST, Newburyport, MA 01950
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Other Identifiers 14

OtherVMA000316MA · Avesis
Other542065263MA · Tricare
Medicare UPINU75485MA
Other151952MA · Harvard Pilgrim
Other2330207MA · Aetna
Other542065263MA · Integrated Health Plan
Other387140MA · Cigna
Other0023858MA · Neighborhood Health Plan
Other405740MA · Tufts
Other542065263MA · Healthcare Value Manageme
Other542065263MA · United Healthcare
OtherW20320MA · Blue Cross Blue Shield
Medicare ID-Type Unspecified17252MA · Group # W21061
Medicaid0317501MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Dr. Chad Everett Mcdonald Od 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 ID4981734134
PECOS Enrollment IDI20100614000854
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 7

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
2,595 services21 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.
188 services176 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.
183 services181 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.
78 services77 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients
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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01950 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%49 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

KRISTIN BARAGONA OD
Optometrist
33 LOW ST
NEWBURYPORT, MA 01950
Essex County (978) 462-2020
ESSEX COUNTY ORTHODONTICS PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
33 LOW ST
NEWBURYPORT, MA 01950
Essex County (978) 465-6288
DR. SPENCER E TRAXLER OD
Optometrist
33 LOW ST
NEWBURYPORT, MA 01950
Essex County (978) 462-2020
DR. WILLIAM FREDERICK WATTS O.D.
Optometrist
33 LOW ST
NEWBURYPORT, MA 01950
Essex County (978) 462-2020
WATTS EYE ASSOCIATES LLC
Optometrist
33 LOW ST
NEWBURYPORT, MA 01950
Essex County (978) 462-4263

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 Chad Mcdonald's NPI number?

The NPI number for Chad Mcdonald is 1215909643. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Chad Mcdonald located?

Chad Mcdonald practices at 33 Low St, Newburyport, MA 01950. The listed phone number is (978) 462-2020.

What is Chad Mcdonald's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Chad Mcdonald enrolled in Medicare?

Yes. Chad 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 Chad Mcdonald accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Chad 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.

When was this NPI record last updated?

The NPPES record for Chad Mcdonald was last updated on October 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.