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DR. PAUL HENRY MACDONALD M.D.
NPI 1265416929
Pediatrics in Steubenville, OH

Active since December 05, 2005PECOS Enrolled
200 LURAY DR, STEUBENVILLE, OH 43953(740) 314-8258(707) 462-1111 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Paul Henry Macdonald M.d. NPPES

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

DR. PAUL HENRY MACDONALD M.D. (NPI 1265416929) is an individual pediatrics provider in Steubenville, Ohio, licensed in California (A064678) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265416929
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PAUL HENRY MACDONALDCredential: M.D.
Location Address200 LURAY DRSteubenville, OH 43953-3973
Mailing Address1502 Pershing AvenueSteubenville, OH 43952 · (707) 463-8000 · Fax (707) 462-1111
Phone(740) 314-8258
Fax(707) 462-1111
Sole ProprietorNo
Enumeration DateDecember 5, 2005
Last NPPES UpdateJanuary 30, 2017
✔ NPI 1265416929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A064678
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
200 LURAY DR, Steubenville, OH 43953
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Other Identifiers 1

Medicaid00A646780CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Henry Macdonald M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Paul Macdonald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Change, Incorporated
6.4 mi
Federally Qualified Health Center (FQHC)
3136 WEST ST
Weirton, WV 26062
  • Reassigned Medicare billing, Ohio and West Virginia enrollments
  • 19 clinicians in this Medicare group
NPI 1245244367 (304) 797-7733

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43953 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 12

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

VIRGINIA RUTH ARBOGAST ATC
Specialist/Technologist (Athletic Trainer)
200 LURAY DR
WINTERSVILLE, OH 43953
Jefferson County (740) 266-3866
CHANGE, INC.
Obstetrics & Gynecology
200 LURAY DR
WINTERSVILLE, OH 43953
Jefferson County (304) 797-7733
MATTHEW BADILLO
Clinic/Center (Mental Health (Including Community Mental Health Center))
200 LURAY DR
STEUBENVILLE, OH 43953
Jefferson County (740) 314-8258
JAIME MARIE PRICE ATC
Specialist/Technologist (Athletic Trainer)
200 LURAY DR
WINTERSVILLE, OH 43953
Jefferson County (740) 266-3866
TINA MARIE TIBERIO FNP-BC
Nurse Practitioner (Family)
200 LURAY DR
WINTERSVILLE, OH 43953
Jefferson County (304) 797-7733
PERRY M PRITCHARD PT
Physical Therapist
200 LURAY DR
WINTERSVILLE, OH 43953
Jefferson County (740) 266-3866
LINDSAY BLAKE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
200 LURAY DR
WINTERSVILLE, OH 43953
Jefferson County (740) 314-8258
EMPICARE INC.
Durable Medical Equipment & Medical Supplies
200 LURAY DR, SUITE A
WINTERSVILLE, OH 43953
Jefferson County (740) 264-2082

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 Paul Macdonald's NPI number?

The NPI number for Paul Macdonald is 1265416929. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Paul Macdonald located?

Paul Macdonald practices at 200 Luray Dr, Steubenville, OH 43953. The listed phone number is (740) 314-8258.

What is Paul Macdonald's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Paul Macdonald enrolled in Medicare?

Yes. Paul Macdonald is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Macdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Macdonald reassigns Medicare benefits to Change, Incorporated (Weirton, WV). The 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 Paul Macdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Macdonald accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Macdonald was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.