KATHERINE CHRISTINE MCDONALD MD
NPI 1235529652
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Scarborough, ME

Q: What is Katherine Mcdonald's NPI number?

The NPI number for Katherine Mcdonald is 1235529652. It was assigned to this individual provider in the NPPES registry on January 24, 2015.

Q: What is Katherine Mcdonald's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Active since January 24, 2015PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

300 PROFESSIONAL DR STE 2B, SCARBOROUGH, ME 04074(207) 761-1502(207) 774-2015 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2022, Aug 21, 2022, Aug 5, 2022 and 1 more (4 updates tracked since 2019).

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About Katherine Christine Mcdonald Md NPPES

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

KATHERINE CHRISTINE MCDONALD MD (NPI 1235529652) is an individual urogynecology and reconstructive pelvic surgery provider in Scarborough, Maine, licensed in Maine (MD25616) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in South Portland.

NPPES Registry Identity

NPI1235529652

Entity TypeIndividualFemale

Primary Taxonomy207VF0040X

Provider Legal NameKATHERINE CHRISTINE MCDONALDCredential: MD

Location Address300 PROFESSIONAL DR STE 2BScarborough, ME 04074-8897

Mailing Address300 Professional Dr Ste 2bScarborough, ME 04074-8897 · (207) 761-1502 · Fax (207) 774-2015

Phone(207) 761-1502

Fax(207) 774-2015

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 24, 2015

Last NPPES UpdateOctober 16, 20254 updates tracked since enumeration

NPPES CertifiedOctober 16, 2025

✔ NPI 1235529652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in ME · MD25616

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD25616 (ME)

300 PROFESSIONAL DR STE 2B, Scarborough, ME 04074

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Secondary Practice Location 1

Location 1100 Brickhill AveSouth Portland, ME 04106-1999 · Phone (207) 761-1502

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Katherine Christine 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 ID6800135526

PECOS Enrollment IDI20220922001522

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 4

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.

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.

70 services51 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

55 services55 patients

Insertion of temporary bladder tube 51701

This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.

27 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services27 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

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.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 11

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

ANDREW HEPPE

Internal Medicine