DR. DONALD A MCCAIN M.D.
NPI 1295801157
Surgery - Surgical Oncology in Hackensack, NJ

Q: What is Donald Mccain's NPI number?

The NPI number for Donald Mccain is 1295801157. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Q: What is Donald Mccain's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Donald Mccain was last updated on March 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 24, 2006PECOS EnrolledAccepts Medicare Assignment

76.34/100

CMS Quality Rating

20 PROSPECT AVE, SUITE 603, HACKENSACK, NJ 07601(201) 342-1010(201) 342-1030 Get Directions Write a Review

NPPES record last updated: March 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Donald A Mccain M.d. NPPES

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

DR. DONALD A MCCAIN M.D. (NPI 1295801157) is an individual surgical oncology provider in Hackensack, New Jersey, licensed in New Jersey (MA067928) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1991).

NPPES Registry Identity

NPI1295801157

Entity TypeIndividualMale

Primary Taxonomy2086X0206X

Provider Legal NameDR. DONALD A MCCAINCredential: M.D.

Location Address20 PROSPECT AVE, SUITE 603Hackensack, NJ 07601-1997

Mailing Address20 Prospect Ave, Suite 603Hackensack, NJ 07601-1997 · (201) 342-1010 · Fax (201) 342-1030

Phone(201) 342-1010

Fax(201) 342-1030

Sole ProprietorYes

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1991

Enumeration DateNovember 24, 2006

Last NPPES UpdateMarch 3, 2008

✔ NPI 1295801157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in NJ · MA067928

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

20 PROSPECT AVE, Hackensack, NJ 07601

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Other Identifiers 3

Medicaid7840705NJ

Medicare UPING78910NJ

Medicare PIN016012W4FNJ

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. Donald A Mccain 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 ID3274577747

PECOS Enrollment IDI20050615000489

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 13

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

96 services96 patients

Creation of muscle graft to trunk 15734

The creation of a muscle graft to the trunk is a surgical procedure where healthy muscle tissue is moved from one part of the body to another. This helps to repair damaged areas, improve function, and enhance appearance. It's a common procedure in reconstructive surgery.

63 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

59 services59 patients

Creation of flap graft to head and/or neck 15733

A flap graft to the head or neck is a surgical procedure where healthy tissue is moved from one area of your body to another. This is done to replace damaged tissue, improve blood flow, or restore function in the head or neck area.

56 services28 patients

Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm 11606

This procedure involves surgically removing a cancerous skin growth larger than 4.0 cm on your body, arms, or legs. It's a crucial step in preventing the spread of cancer. Local anesthesia is typically used, and recovery time varies. It's a common and safe procedure.

47 services39 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

38 services22 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.

35 services35 patients

Creation of muscle graft to arm 15736

A muscle graft to the arm is a surgical procedure where healthy muscle tissue is taken from another part of your body and transplanted to the arm. This can restore function and strength, aiding in movement and overall arm health.

32 services16 patients

Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm 11626

This procedure involves the surgical removal of a cancerous growth on the scalp, neck, hands, or feet that measures over 4.0 cm. It is performed under local anesthesia and may require stitches. The goal is to eliminate all cancer cells and prevent further spread.

27 services25 patients

Creation of muscle graft to leg 15738

A muscle graft to the leg involves taking healthy muscle tissue from another area of your body and transplanting it to your leg. This procedure helps improve blood flow, promote healing, and restore function if your leg muscle is damaged or diseased.

25 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services19 patients

Injection of radioactive material for x-ray identification of lymph node 38792

This procedure involves injecting a safe radioactive substance into your body. It travels to your lymph nodes, making them visible on X-ray images. This helps in identifying any abnormal nodes for further examination. It's a standard part of many diagnostic processes.

16 services16 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.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310001

Location30 Prospect AveHackensack, NJ 07601 · Bergen County

Emergency services Birthing friendly

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310034

LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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

$190.92 typical visit price

range $63.84 – $190.92

Typical copayment $47.73 (range $15.96 – $47.73)

Most-billed visit code 99205

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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.

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.

76.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Promoting Interoperability

Improvement Activities

Cost

21.98

Reported Quality Measures

Advance Care Plan

100%312 patients5/55-star benchmark: 100%

Breast Cancer Screening

100%141 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%630 patients5/55-star benchmark: 100%

e-Prescribing

100%118 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%527 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

87%457 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

99%139 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 316 patients

Patients totalRate: 0% · 316 patients

0%316 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each A5056

DME-Orthotic Devices · category DF010N

1 supplier11 claims300 services$4.31 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 20

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

DR. CHRISTOPHER M. SHAARI M.D.

Otolaryngology

20 PROSPECT AVE, SUITE 712
HACKENSACK, NJ 07601

Bergen County (201) 342-8060

MS. ELIZABTH ANNE BILOTTI APN-BC

Nurse Practitioner (Adult Health)

20 PROSPECT AVE, THE CANCER CENTER AT HACKENSACK UNIVERSITY MEDICAL CTR.
HACKENSACK, NJ 07601

Bergen County (201) 996-5900

DR. JOSEPH B. GLOWACKI DO

Internal Medicine (Infectious Disease)

20 PROSPECT AVE, STE 507
HACKENSACK, NJ 07601

Bergen County (201) 487-4088

EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS PA

Psychiatry & Neurology (Neurology)

20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601

Bergen County (201) 996-3205

JEROME F LEVINE M.D.

Internal Medicine (Infectious Disease)

20 PROSPECT AVE, SUITE 507
HACKENSACK, NJ 07601

Bergen County (201) 487-4088

MS. THERESA M GABAY APRN, BC

Nurse Practitioner (Family)

20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601

Bergen County (201) 996-5251

LISA HA

Nurse Practitioner (Acute Care)

20 PROSPECT AVE
HACKENSACK, NJ 07601

Bergen County (551) 996-2000

THE CENTER FOR ADVANCED NEUROSURGERY, LLC

Neurological Surgery

20 PROSPECT AVE, SUITE 811
HACKENSACK, NJ 07601

Bergen County (201) 881-0700

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 Donald Mccain's NPI number?

The NPI number for Donald Mccain is 1295801157. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Donald Mccain located?

Donald Mccain practices at 20 Prospect Ave Suite 603, Hackensack, NJ 07601. The listed phone number is (201) 342-1010.

What is Donald Mccain's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Donald Mccain enrolled in Medicare?

Yes. Donald Mccain 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.

Is Donald Mccain affiliated with any hospitals?

According to CMS data, Donald Mccain is affiliated with Hackensack University Medical Center, Riverview Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Donald Mccain was last updated on March 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.