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DOUGLAS LLOYD MACDONALD
NPI 1285594150
Nurse Practitioner - Psychiatric/Mental Health in Hartsburg, MO

Active since November 13, 2025PECOS EnrolledAccepts Medicare Assignment
22301 S COONCE LN, HARTSBURG, MO 65039(585) 506-8505 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Douglas Lloyd Macdonald NPPES

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

DOUGLAS LLOYD MACDONALD (NPI 1285594150) is an individual psychiatric/mental health provider in Hartsburg, Missouri, licensed in Missouri (2025049098) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1285594150
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDOUGLAS LLOYD MACDONALD
Location Address22301 S COONCE LNHartsburg, MO 65039-9740
Mailing Address22301 S Coonce LnHartsburg, MO 65039-9740
Phone(585) 506-8505
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 13, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1285594150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2025049098
22301 S COONCE LN, Hartsburg, MO 65039
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, 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 and accepts Medicare assignment

Douglas Lloyd Macdonald 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 ID2062991342
PECOS Enrollment IDI20260206002396
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 Douglas Macdonald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osage Beach Center For Behavioral Health, LLC
43 mi
Psychiatric Hospital
840 PASSOVER ROAD
Osage Beach, MO 65065
  • Reassigned Medicare billing, Missouri enrollment
  • 10 clinicians in this Medicare group
NPI 1790115939 (855) 690-3146

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 65039 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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 Douglas Macdonald's NPI number?

The NPI number for Douglas Macdonald is 1285594150. It was assigned to this individual provider in the NPPES registry on November 13, 2025.

Where is Douglas Macdonald located?

Douglas Macdonald practices at 22301 S Coonce Ln, Hartsburg, MO 65039. The listed phone number is (585) 506-8505.

What is Douglas Macdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Douglas Macdonald enrolled in Medicare?

Yes. Douglas Macdonald 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 organization bills Medicare for Douglas Macdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Macdonald reassigns Medicare benefits to Osage Beach Center For Behavioral Health, LLC (Osage Beach, MO). 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 Douglas Macdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Macdonald accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Douglas 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 Douglas Macdonald was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.