MR. MYRON TODD MCDONALD FNP-C
NPI 1275534190
Nurse Practitioner - Family in Sylvester, GA

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
78.41/100
CMS Quality Rating
1010 W FRANKLIN ST, SYLVESTER, GA 31791(229) 776-3500 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 10, 2025, Mar 29, 2021 (2 updates tracked since 2021).

About Mr. Myron Todd Mcdonald Fnp-c NPPES

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

MR. MYRON TODD MCDONALD FNP-C (NPI 1275534190) is an individual family provider in Sylvester, Georgia, licensed in Georgia (NP115747) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1275534190
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MYRON TODD MCDONALDCredential: FNP-C
Location Address1010 W FRANKLIN STSylvester, GA 31791-1900
Mailing Address2805 Stonewater DrAlbany, GA 31721-6226 · (229) 883-4045
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 2, 2005
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1275534190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · NP115747
1010 W FRANKLIN ST, Sylvester, GA 31791

Accepted 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

Mr. Myron Todd Mcdonald Fnp-c 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 ID42219529
PECOS Enrollment IDI20061211000350
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.

Hospital Affiliations CMS Care Compare 3

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

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

Cook Medical Center A Campus Of Tift Reg Med Ctr

Acute Care Hospitals · Adel, GA
OwnershipProprietary
CMS Certification Number110101
Location260 Mj Taylor RoadAdel, GA 31620 · Cook County
Emergency services

Phoebe Worth Medical Center

Critical Access Hospitals · Sylvester, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number111328
Location807 South Isabella StreetSylvester, GA 31791 · Worth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31791 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

78.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.68
Promoting Interoperability100
Improvement Activities40
Cost66.15

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$42.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Obstetrics & Gynecology
1010 W FRANKLIN ST
SYLVESTER, GA 31791
Clinic/Center (Rural Health)
1010 W FRANKLIN ST
SYLVESTER, GA 31791
Family Medicine
1010 W FRANKLIN ST
SYLVESTER, GA 31791

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 Myron Mcdonald's NPI number?

The NPI number for Myron Mcdonald is 1275534190. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Myron Mcdonald located?

Myron Mcdonald practices at 1010 W Franklin St, Sylvester, GA 31791. The listed phone number is (229) 776-3500.

What is Myron Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Myron Mcdonald enrolled in Medicare?

Yes. Myron Mcdonald 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 Myron Mcdonald accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Myron Mcdonald 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 Myron Mcdonald affiliated with any hospitals?

According to CMS data, Myron Mcdonald is affiliated with Tift Regional Medical Center, Cook Medical Center A Campus Of Tift Reg Med Ctr and Phoebe Worth Medical Center.

When was this NPI record last updated?

The NPPES record for Myron Mcdonald was last updated on October 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.