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PATRICK EARL MCDONOUGH MD
NPI 1225151558
Family Medicine - Sports Medicine in St. Croix Falls, WI

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
235 STATE STREET, ST. CROIX FALLS, WI 54024(715) 483-3221(715) 483-0507 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Patrick Earl Mcdonough Md NPPES

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

PATRICK EARL MCDONOUGH MD (NPI 1225151558) is an individual sports medicine provider in St. Croix Falls, Wisconsin, licensed in Wisconsin (54869) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with St Croix Regional Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1225151558
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NamePATRICK EARL MCDONOUGHCredential: MD
Location Address235 STATE STREETSt. Croix Falls, WI 54024
Mailing Address235 State StreetSt. Croix Falls, WI 54024 · (715) 483-3221 · Fax (715) 483-0507
Phone(715) 483-3221
Fax(715) 483-0507
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 10, 2007
Last NPPES UpdateJanuary 15, 2021
NPPES CertifiedJanuary 15, 2021
✔ NPI 1225151558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses✔ Licensed in WI · 54869✔ Licensed in MN · 50910
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
235 STATE STREET, St. Croix Falls, WI 54024
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Other Identifiers 2

Medicaid1225151558WI
Medicaid1225151558MN

Accepted Insurance

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

Patrick Earl Mcdonough 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 ID9830257435
PECOS Enrollment IDI20101021000670
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 2

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
130 services16 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
21 services15 patients

Hospital Affiliations CMS Care Compare

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

St Croix Regional Medical Center

Critical Access Hospitals · Saint Croix Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521337
Location235 E State StreetSaint Croix Falls, WI 54024 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54024 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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

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

SARAH MARIE ARNONE D.O.
Family Medicine
235 STATE STREET
ST. CROIX FALLS, WI 54024
Polk County (715) 483-3221

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 Patrick Mcdonough's NPI number?

The NPI number for Patrick Mcdonough is 1225151558. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Patrick Mcdonough located?

Patrick Mcdonough practices at 235 State Street, St. Croix Falls, WI 54024. The listed phone number is (715) 483-3221.

What is Patrick Mcdonough's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Patrick Mcdonough enrolled in Medicare?

Yes. Patrick Mcdonough 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 Patrick Mcdonough accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Patrick Mcdonough 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 Patrick Mcdonough affiliated with any hospitals?

According to CMS data, Patrick Mcdonough is affiliated with St Croix Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Patrick Mcdonough was last updated on January 15, 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.