1. Home
  2. Directory
  3. Maine
  4. Brunswick
  5. Family Medicine
  6. NPI Profile

MICHAEL MACDONALD MD
NPI 1235220740
Family Medicine in Brunswick, ME

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
22 STATION AVENUE, SUITE 101, BRUNSWICK, ME 04011(207) 373-6848(207) 373-6849 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Macdonald Md NPPES

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

MICHAEL MACDONALD MD (NPI 1235220740) is an individual family medicine provider in Brunswick, Maine, licensed in Maine (0155660) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1235220740
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL MACDONALDCredential: MD
Location Address22 STATION AVENUE, SUITE 101Brunswick, ME 04011
Mailing Address22 Station Ave, Suite 101Brunswick, ME 04011-2092 · (207) 373-6848 · Fax (207) 373-6849
Phone(207) 373-6848
Fax(207) 373-6849
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 28, 2006
Last NPPES UpdateFebruary 26, 2016
✔ NPI 1235220740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · 0155660
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
22 STATION AVENUE, Brunswick, ME 04011
Open in Google Maps ↗

Other Identifiers 4

OtherAA228143ME · Harvard Pilgrim
Medicare UPING52943ME
Medicare PINMM8925ME
Medicaid314110099ME

Accepted Insurance

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

Michael 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 ID8325037922
PECOS Enrollment IDI20040510000368
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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
102 services46 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
14 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Northern Light Mayo Hospital

Critical Access Hospitals · Dover Foxcroft, ME
OwnershipGovernment - Hospital District or Authority
CMS Certification Number201309
Location897 West Main StreetDover Foxcroft, ME 04426 · Piscataquis County
Emergency services Birthing friendly

Northern Light Sebasticook Valley Hospital

Critical Access Hospitals · Pittsfield, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201313
Location447 North Main StreetPittsfield, ME 04967 · Somerset County
Emergency services

Redington Fairview General Hospital

Critical Access Hospitals · Skowhegan, ME
4/5 CMS rating
OwnershipProprietary
CMS Certification Number201314
Location46 Fairview Ave PO Box 468Skowhegan, ME 04976 · Somerset County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04011 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers36 claims126 services$4.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims20 services$0.85 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier20 claims40 services$1.48 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims72 services$2.20 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
1 supplier12 claims12 services$82.22 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.53 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 Michael Macdonald's NPI number?

The NPI number for Michael Macdonald is 1235220740. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Michael Macdonald located?

Michael Macdonald practices at 22 Station Avenue Suite 101, Brunswick, ME 04011. The listed phone number is (207) 373-6848.

What is Michael Macdonald's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Macdonald enrolled in Medicare?

Yes. Michael 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 Michael Macdonald accept?

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

According to CMS data, Michael Macdonald is affiliated with St Joseph Hospital, Northern Light Eastern Maine Medical Center, Northern Light Mayo Hospital, Northern Light Sebasticook Valley Hospital and Redington Fairview General Hospital.

When was this NPI record last updated?

The NPPES record for Michael Macdonald was last updated on February 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.