DR. MEGAN MCDONALD OD
NPI 1285231597
Optometrist in Philadelphia, PA

Active since October 08, 2020PECOS Enrolled
180 W GIRARD AVE STE 5, PHILADELPHIA, PA 19123(215) 554-6222 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 10, 2023, Oct 8, 2020 (2 updates tracked since 2020).

About Dr. Megan Mcdonald Od NPPES

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

DR. MEGAN MCDONALD OD (NPI 1285231597) is an individual optometrist in Philadelphia, Pennsylvania, licensed in New Jersey (27OA00700800) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wall Township.

NPPES Registry Identity

NPI1285231597
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MEGAN MCDONALDCredential: OD
Location Address180 W GIRARD AVE STE 5Philadelphia, PA 19123-1660
Mailing Address180 W Girard Ave Ste 5Philadelphia, PA 19123-1660 · (215) 554-6222
Sole ProprietorYes
Enumeration DateOctober 8, 2020
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1285231597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NJ · 27OA00700800✔ Licensed in PA · OEG003984
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
180 W GIRARD AVE STE 5, Philadelphia, PA 19123

Secondary Practice Location 1

Location 11933 Hwy 35Wall Township, NJ 07719-3502 · Phone (732) 449-5902

Accepted 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. Megan Mcdonald Od 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 Reassignments

2

Medicare enrollment records show Megan Mcdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
1501 N BROAD ST STE 7
Philadelphia, PA 19122
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 24 clinicians in this Medicare group
Optometrist
49 E CITY AVE # 10
Bala Cynwyd, PA 19004
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 16 clinicians in this Medicare group

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 19123 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
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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 11

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

Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123
Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123
Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123
Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123
Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123
Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123
Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123
Optometrist
180 W GIRARD AVE STE 5
PHILADELPHIA, PA 19123

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 Megan Mcdonald's NPI number?

The NPI number for Megan Mcdonald is 1285231597. It was assigned to this individual provider in the NPPES registry on October 8, 2020.

Where is Megan Mcdonald located?

Megan Mcdonald practices at 180 W Girard Ave Ste 5, Philadelphia, PA 19123. The listed phone number is (215) 554-6222.

What is Megan Mcdonald's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Megan Mcdonald enrolled in Medicare?

Yes. Megan Mcdonald is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Megan Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Mcdonald reassigns Medicare benefits to 2 organizations: Trend Eye Care II LLC (Philadelphia, PA) and City Line Eye Care LLC (Bala Cynwyd, PA). 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 Megan Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Mcdonald accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Highmark Blue Cross Blue Shield Delaware and Highmark Blue Cross Blue Shield West Virginia list Megan 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.

When was this NPI record last updated?

The NPPES record for Megan Mcdonald was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.