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MRS. CYNTHIA LEE MACDONALD NP
NPI 1295988996
Nurse Practitioner - Adult Health in Charleston, SC

Active since October 28, 2008PECOS EnrolledAccepts Medicare Assignment
9330 MEDICAL PLAZA DR, C/O COASTAL INPATIENT PHYSICIANS, CHARLESTON, SC 29406(843) 847-3225(843) 847-3247 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Cynthia Lee Macdonald Np NPPES

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

MRS. CYNTHIA LEE MACDONALD NP (NPI 1295988996) is an individual adult health provider in Charleston, South Carolina, licensed in South Carolina (88) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Colleton Medical Center, and is a graduate of University Of South Carolina School Of Medicine (1998).

NPPES Registry Identity

NPI1295988996
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. CYNTHIA LEE MACDONALDCredential: NP
Location Address9330 MEDICAL PLAZA DR, C/O COASTAL INPATIENT PHYSICIANSCharleston, SC 29406-9104
Mailing Address9330 Medical Plaza Dr, C/o Coastal Inpatient PhysiciansCharleston, SC 29406-9104 · (843) 847-3225 · Fax (843) 847-3247
Phone(843) 847-3225
Fax(843) 847-3247
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1998
Enumeration DateOctober 28, 2008
✔ NPI 1295988996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in SC · 88
9330 MEDICAL PLAZA DR, Charleston, SC 29406
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare 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

Mrs. Cynthia Lee Macdonald Np 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 ID7517096068
PECOS Enrollment IDI20140814001308
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 7

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 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.
145 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
129 services65 patients
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.
41 services35 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.
37 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Colleton Medical Center

Acute Care Hospitals · Walterboro, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420030
Location501 Robertson BoulevardWalterboro, SC 29488 · Colleton County
Emergency services Birthing friendly

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$64.78 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$33.93 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.

MR. RICHARD DALE BRINSON MSN, APRN, NP-C
Nurse Practitioner (Acute Care)
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Charleston County (843) 847-4595
DR. DARRYL EDWARD MCFARLAND MD
Internal Medicine (Critical Care Medicine)
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 797-7000
ROSSEN IVANOV KIRKOV MD
Emergency Medicine
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 797-7000
MORGAN ELISABETH HUNT
Student in an Organized Health Care Education/Training Program
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Charleston County (843) 797-7000
DR. ALLISON LUNDY MCCRAE MD
Surgery
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Charleston County (843) 797-7000
DR. SARAH CARTER PT, DPT
Physical Therapist
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Charleston County (843) 797-7000
DR. VINCENT PAUL GRZYWACZ II MD
Radiology (Radiation Oncology)
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 847-4571
MISBHA ANJUM MD
Student in an Organized Health Care Education/Training Program
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 847-5620

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 Cynthia Macdonald's NPI number?

The NPI number for Cynthia Macdonald is 1295988996. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Where is Cynthia Macdonald located?

Cynthia Macdonald practices at 9330 Medical Plaza Dr C/O Coastal Inpatient Physicians, Charleston, SC 29406. The listed phone number is (843) 847-3225.

What is Cynthia Macdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Cynthia Macdonald enrolled in Medicare?

Yes. Cynthia 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.

What insurance does Cynthia Macdonald accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Cynthia 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.

Is Cynthia Macdonald affiliated with any hospitals?

According to CMS data, Cynthia Macdonald is affiliated with Colleton Medical Center and Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Cynthia Macdonald was last updated on October 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.