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DR. KATHERINE E. MCDONELL M.D.
NPI 1275844508
Psychiatry & Neurology - Neurology in Nashville, TN

Active since July 01, 2010PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 936-2000 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2020, Feb 24, 2016 (2 updates tracked since 2016).

About Dr. Katherine E. Mcdonell M.d. NPPES

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

DR. KATHERINE E. MCDONELL M.D. (NPI 1275844508) is an individual neurology provider in Nashville, Tennessee, licensed in Tennessee (51374) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1275844508
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. KATHERINE E. MCDONELLCredential: M.D.
Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-0014
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000
Phone(615) 936-2000
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2010
Enumeration DateJuly 1, 2010
Last NPPES UpdateMarch 22, 20222 updates tracked since enumeration
NPPES CertifiedMarch 22, 2022
✔ NPI 1275844508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TN · 51374
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X · License 51374 (TN)
3601 THE VANDERBILT CLINIC, Nashville, TN 37232
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Other Names 1

Former Name (1)Dr. Katherine Ellen Eder M.d.

Secondary Practice Location 1

Location 11301 Medical Center Dr, Suite 3930 TVCNashville, TN 37232-0014 · Phone (615) 936-0060

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and more.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. Katherine E. Mcdonell 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 ID749407427
PECOS Enrollment IDI20140805000792
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 2

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 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.
26 services20 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.
18 services14 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

DR. ENGLISH FLACK MD
Pediatrics (Pediatric Cardiology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DANIEL K BARRETT APRN
Nurse Practitioner (Acute Care)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
JACQUELYN L. GARNER PNP
Nurse Practitioner (Pediatrics)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DR. ROBERT JAMES LENTZ M.D.
Internal Medicine (Pulmonary Disease)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
LYNN HOLLIDAY M.D.
Family Medicine
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DR. HEATHER KRETH PSY.D
Psychologist (Clinical Child & Adolescent)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 936-2000
AARON WESLEY SCOTT APN
Nurse Practitioner
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 936-2000
DR. COLLEEN M KIERNAN M.D.
Surgery (Surgical Oncology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000

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 Katherine Mcdonell's NPI number?

The NPI number for Katherine Mcdonell is 1275844508. It was assigned to this individual provider in the NPPES registry on July 1, 2010. The provider is also known as Dr. Katherine Ellen Eder M.D..

Where is Katherine Mcdonell located?

Katherine Mcdonell practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 936-2000.

What is Katherine Mcdonell's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Katherine Mcdonell enrolled in Medicare?

Yes. Katherine Mcdonell 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 Katherine Mcdonell accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Katherine Mcdonell 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 Katherine Mcdonell affiliated with any hospitals?

According to CMS data, Katherine Mcdonell is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Katherine Mcdonell was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.