DAVID B MACDONALD MD
NPI 1225207897
Hospitalist in Burlington, MA

Active since February 27, 2008PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805(781) 744-7000(781) 744-5378 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About David B Macdonald Md NPPES

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

DAVID B MACDONALD MD (NPI 1225207897) is an individual hospitalist provider in Burlington, Massachusetts, licensed in Massachusetts (242729) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1225207897
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDAVID B MACDONALDCredential: MD
Location Address41 MALL RD, LAHEY CLINICBurlington, MA 01805-0001
Mailing Address41 Mall Rd, Lahey ClinicBurlington, MA 01805-0001 · (781) 744-7000 · Fax (781) 744-5378
Fax(781) 744-5378
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 27, 2008
Last NPPES UpdateOctober 19, 2010
NPI 1225207897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MA · 242729
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 242729 (MA)
41 MALL RD, Burlington, MA 01805

Other Identifiers 2

Medicaid110085845AMA
Medicare PIN001663901MA

Accepted 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

David B Macdonald 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 ID6800920299
PECOS Enrollment IDI20100820000720
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
109 services108 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
41 MALL RD
BURLINGTON, MA 01805
Urology
41 MALL RD, LAHEY CLINIC
BURLINGTON, MA 01805
Internal Medicine (Cardiovascular Disease)
41 MALL RD, CARDIOVASCULAR MEDICINE
BURLINGTON, MA 01805
Psychiatry & Neurology (Psychiatry)
41 MALL RD
BURLINGTON, MA 01805
Internal Medicine (Hematology & Oncology)
41 MALL RD, LAHEY CLINIC
BURLINGTON, MA 01805
Anesthesiology
41 MALL RD
BURLINGTON, MA 01805
Internal Medicine (Pulmonary Disease)
41 MALL RD, LAHEY CLINIC, INC.
BURLINGTON, MA 01805
Physician Assistant
41 MALL RD
BURLINGTON, MA 01805

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 David Macdonald's NPI number?

The NPI number for David Macdonald is 1225207897. It was assigned to this individual provider in the NPPES registry on February 27, 2008.

Where is David Macdonald located?

David Macdonald practices at 41 Mall Rd Lahey Clinic, Burlington, MA 01805. The listed phone number is (781) 744-7000.

What is David Macdonald's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is David Macdonald enrolled in Medicare?

Yes. David 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 David Macdonald accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list David 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 David Macdonald affiliated with any hospitals?

According to CMS data, David Macdonald is affiliated with Northeast Hospital Corporation and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for David Macdonald was last updated on October 19, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.