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DR. RYAN JAMES MACDONALD M.D.
NPI 1255565933
Emergency Medicine in Athol, ID

Active since May 08, 2009PECOS EnrolledAccepts Medicare Assignment
7173 E SUPER 1 LOOP, STE A, ATHOL, ID 83801(208) 561-9970(208) 561-9997 Get Directions Write a Review

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

Record update history: Mar 14, 2023, Jan 25, 2023, Aug 23, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Ryan James Macdonald M.d. NPPES

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

DR. RYAN JAMES MACDONALD M.D. (NPI 1255565933) is an individual emergency medicine provider in Athol, Idaho, licensed in Idaho (M-16953) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Northwest Specialty Hospital, and is a graduate of Mayo Medical School (2009).

NPPES Registry Identity

NPI1255565933
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. RYAN JAMES MACDONALDCredential: M.D.
Location Address7173 E SUPER 1 LOOP, STE AAthol, ID 83801
Mailing Address1593 E Polston AvePost Falls, ID 83854-5326 · (208) 262-2498 · Fax (208) 262-7461
Phone(208) 561-9970
Fax(208) 561-9997
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 2009
Enumeration DateMay 8, 2009
Last NPPES UpdateApril 16, 20254 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
✔ NPI 1255565933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ID · M-16953
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
7173 E SUPER 1 LOOP, Athol, ID 83801
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Other Identifiers 1

Medicaid1255565933ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Dr. Ryan James Macdonald M.d. 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 ID8820312945
PECOS Enrollment IDI20180115001026, I20230206003110
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 9

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
113 services105 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
52 services50 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
43 services43 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
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.
32 services31 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Northwest Specialty Hospital

Acute Care Hospitals · Post Falls, ID
OwnershipProprietary
CMS Certification Number130066
Location1593 East Polston AvenuePost Falls, ID 83854 · Kootenai County

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500054
Location101 West 8th AvenueSpokane, WA 99204 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83801 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Other Providers at the Same Location NPPES

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

MRS. HOLLY MARIE HEYNE FNP-C
Nurse Practitioner (Family)
7173 E SUPER 1 LOOP, STE B
ATHOL, ID 83801
Kootenai County (208) 561-9901

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 Ryan Macdonald's NPI number?

The NPI number for Ryan Macdonald is 1255565933. It was assigned to this individual provider in the NPPES registry on May 8, 2009.

Where is Ryan Macdonald located?

Ryan Macdonald practices at 7173 E Super 1 Loop Ste A, Athol, ID 83801. The listed phone number is (208) 561-9970.

What is Ryan Macdonald's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ryan Macdonald enrolled in Medicare?

Yes. Ryan 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 Ryan Macdonald accept?

Health plans from Providence Health Plan list Ryan 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 Ryan Macdonald affiliated with any hospitals?

According to CMS data, Ryan Macdonald is affiliated with Northwest Specialty Hospital and Prov Sacred Hrt Med Ctr & Childs Hosp..

When was this NPI record last updated?

The NPPES record for Ryan Macdonald was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.