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GREGORY L. MCDONOUGH
NPI 1275020349
Internal Medicine in Philadelphia, PA

Active since April 15, 2018PECOS EnrolledAccepts Medicare Assignment
833 CHESTNUT ST STE 220, PHILADELPHIA, PA 19107(215) 955-8465(215) 955-2516 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2018, Apr 15, 2018 (2 updates tracked since 2018).

About Gregory L. Mcdonough NPPES

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

GREGORY L. MCDONOUGH (NPI 1275020349) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT215085) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Geisel School Of Medicine At Dartmouth (2018).

NPPES Registry Identity

NPI1275020349
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGREGORY L. MCDONOUGH
Location Address833 CHESTNUT ST STE 220Philadelphia, PA 19107-4405
Mailing Address833 Chestnut St Ste 220Philadelphia, PA 19107-4405 · (215) 955-8465 · Fax (215) 955-2516
Phone(215) 955-8465
Fax(215) 955-2516
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2018
Enumeration DateApril 15, 2018
Last NPPES UpdateMay 22, 20182 updates tracked since enumeration
✔ NPI 1275020349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MT215085
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
833 CHESTNUT ST STE 220, Philadelphia, PA 19107
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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

Gregory L. Mcdonough 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 ID2264797745
PECOS Enrollment IDI20220330003152, I20230404001018, I20250821000713
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

5

Medicare enrollment records show Gregory Mcdonough reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Physicians Of Pennsylvania PC
6.2 mi
Critical Care Medicine
1500 LANSDOWNE AVE
Darby, PA 19023
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 84 clinicians in this Medicare group
NPI 1952670085 (610) 237-4000
Main Line Healthcare
14 mi
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
NPI 1922077643 (484) 337-1585
Critical Care Physicians Of New Jersey PC
15 mi
Critical Care Medicine
454 HURFFVILLE CROSS KEYS RD
Turnersville, NJ 08012
  • Reassigned Medicare billing, New Jersey enrollment
  • 32 clinicians in this Medicare group
NPI 1154682680 (615) 377-5600
Hospitalist Physicians Of New Jersey PA
60 mi
Hospitalist
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 351 clinicians in this Medicare group
NPI 1588021851 (732) 321-7000
Critical Care Physician Of New York PC
123 mi
Critical Care Medicine
70 DUBOIS ST FL 2
Newburgh, NY 12550
  • Reassigned Medicare billing, New York enrollment
  • 110 clinicians in this Medicare group
NPI 1316293954 (845) 561-4400

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 7

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.

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.
497 services203 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
165 services112 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services25 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
23 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330264
Location70 Dubois StreetNewburgh, NY 12550 · Orange County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

RISA GOLDBERG
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
JUSTIN AOYAMA MD
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
SANJNA SHELUKAR MD
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
SHREYA DHUPAM MD
Internal Medicine
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
ELLA ROSE FEINER
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
DR. EDWIN PEREZ MD
Internal Medicine
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
ANDRE CUNNINGHAM DO
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
PAUL JOSEPH ENDRES MD
Internal Medicine
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465

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 Gregory Mcdonough's NPI number?

The NPI number for Gregory Mcdonough is 1275020349. It was assigned to this individual provider in the NPPES registry on April 15, 2018.

Where is Gregory Mcdonough located?

Gregory Mcdonough practices at 833 Chestnut St Ste 220, Philadelphia, PA 19107. The listed phone number is (215) 955-8465.

What is Gregory Mcdonough's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gregory Mcdonough enrolled in Medicare?

Yes. Gregory Mcdonough 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 Gregory Mcdonough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Mcdonough reassigns Medicare benefits to 5 organizations: Critical Care Physicians Of Pennsylvania PC (Darby, PA), Main Line Healthcare (Newtown Square, PA), Critical Care Physicians Of New Jersey PC (Turnersville, NJ), Hospitalist Physicians Of New Jersey PA (Edison, NJ) and Critical Care Physician Of New York PC (Newburgh, NY). 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 Gregory Mcdonough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gregory Mcdonough affiliated with any hospitals?

According to CMS data, Gregory Mcdonough is affiliated with Raritan Bay Medical Center, Jfk Medical Center, St Luke's Cornwall Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Gregory Mcdonough was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.