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ALEXANDER RICHARD MCDONALD MD
NPI 1225693492
Radiology - Diagnostic Radiology in Madison, WI

Active since May 03, 2019PECOS EnrolledAccepts Medicare Assignment
123 N BLOUNT ST UNIT 404, MADISON, WI 53703(636) 293-6316 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2026, Jul 2, 2025, Jun 6, 2024 and 2 more (5 updates tracked since 2019).

About Alexander Richard Mcdonald Md NPPES

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

ALEXANDER RICHARD MCDONALD MD (NPI 1225693492) is an individual diagnostic radiology provider in Madison, Wisconsin, licensed in Kentucky (60124) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1225693492
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameALEXANDER RICHARD MCDONALDCredential: MD
Location Address123 N BLOUNT ST UNIT 404Madison, WI 53703-4602
Mailing Address123 N Blount St Unit 404Madison, WI 53703-4602 · (636) 293-6316
Phone(636) 293-6316
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2018
Enumeration DateMay 3, 2019
Last NPPES UpdateMay 15, 20265 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1225693492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in KY · 60124✔ Licensed in WI · 76079-20✔ Licensed in OH · 35.155374
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
123 N BLOUNT ST UNIT 404, Madison, WI 53703
Open in Google Maps ↗

Secondary Practice Location 1

Location 129624 Network PlChicago, IL 60673-3750 · Phone (608) 741-7652

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexander Richard Mcdonald 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 ID4183959521
PECOS Enrollment IDI20230821003856, I20250519002490
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Alexander Mcdonald reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Group Health Cooperative Of South Central Wisconsin
7.2 mi
Health Maintenance Organization
1265 JOHN Q HAMMONS DR
Madison, WI 53717
  • Reassigned Medicare billing, Wisconsin enrollment
  • 422 clinicians in this Medicare group
NPI 1245260165 (608) 251-4156
Fort Healthcare, Inc.
30 mi
General Acute Care Hospital
611 SHERMAN AVE E
Fort Atkinson, WI 53538
  • Reassigned Medicare billing, Wisconsin enrollment
  • 298 clinicians in this Medicare group
NPI 1811916281 (920) 568-5000
Mercy Health System Corporation
32 mi
General Acute Care Hospital
1000 MINERAL POINT AVE
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 clinicians in this Medicare group
NPI 1093768962 (608) 756-6000
Henry County Hospital Inc
295 mi
Critical Access
1600 E RIVERVIEW AVE
Napoleon, OH 43545
  • Reassigned Medicare billing, Ohio enrollment
  • 123 clinicians in this Medicare group
NPI 1407880909 (419) 592-4015
Kettering Network Radiologists Inc
357 mi
Diagnostic Radiology
3535 SOUTHERN BLVD
Kettering, OH 45429
  • Reassigned Medicare billing, Kentucky enrollment
  • 5 clinicians in this Medicare group
NPI 1346299153 (937) 296-7202
X-Ray Associates Of Louisville Psc
388 mi
Diagnostic Radiology
4000 KRESGE WAY
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky and Wisconsin enrollments
  • 26 clinicians in this Medicare group
NPI 1922046002 (502) 897-8121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
510 services373 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
135 services134 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
80 services79 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
65 services55 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
32 services28 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53703 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 Alexander Mcdonald's NPI number?

The NPI number for Alexander Mcdonald is 1225693492. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Alexander Mcdonald located?

Alexander Mcdonald practices at 123 N Blount St Unit 404, Madison, WI 53703. The listed phone number is (636) 293-6316.

What is Alexander Mcdonald's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Alexander Mcdonald enrolled in Medicare?

Yes. Alexander 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.

Which organizations bill Medicare for Alexander Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Mcdonald reassigns Medicare benefits to 6 organizations: Group Health Cooperative Of South Central Wisconsin (Madison, WI), Fort Healthcare, Inc. (Fort Atkinson, WI), Mercy Health System Corporation (Janesville, WI), Henry County Hospital Inc (Napoleon, OH), Kettering Network Radiologists Inc (Kettering, OH) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexander Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexander Mcdonald accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Group Health Cooperative-SCW list Alexander 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.

Is Alexander Mcdonald affiliated with any hospitals?

According to CMS data, Alexander Mcdonald is affiliated with Baptist Health Louisville, Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Alexander Mcdonald was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.