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MATTHEW BASIL MCDONALD III M.D.
NPI 1306004544
Pediatrics in Hamilton, NJ

Active since May 23, 2008PECOS Enrolled
3575 QUAKERBRIDGE RD, HAMILTON, NJ 08619(609) 631-2800(609) 631-2896 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew Basil Mcdonald Iii M.d. NPPES

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

MATTHEW BASIL MCDONALD III M.D. (NPI 1306004544) is an individual pediatrics provider in Hamilton, New Jersey, licensed in New Jersey (25MA09461100) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306004544
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMATTHEW BASIL MCDONALD IIICredential: M.D.
Location Address3575 QUAKERBRIDGE RDHamilton, NJ 08619-1271
Mailing Address379 Campus Dr Fl 4Somerset, NJ 08873-1161 · (732) 507-6545 · Fax (908) 389-5675
Phone(609) 631-2800
Fax(609) 631-2896
Sole ProprietorYes
Enumeration DateMay 23, 2008
Last NPPES UpdateFebruary 21, 2020
✔ NPI 1306004544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA09461100
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedGeneral Acute Care Hospital · ChildrenTaxonomy 282NC2000X · License MT188382 (PA)
3575 QUAKERBRIDGE RD, Hamilton, NJ 08619
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Basil Mcdonald Iii M.d. 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 Reassignment

Medicare enrollment records show Matthew Mcdonald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Specialized Hospital
20 mi
Children
200 SOMERSET ST
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 127 clinicians in this Medicare group
NPI 1396886297 (732) 258-7000

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 08619 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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.

MS. LINDSAY MARIE BUBLEWICZ OTR/L
Rehabilitation Hospital (Children)
3575 QUAKERBRIDGE RD
TRENTON, NJ 08619
Mercer County (609) 631-2800
DANIELLE SARA BLUM M.A. CCC-SLP
Speech-Language Pathologist
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619
Mercer County (609) 631-2800
MS. LAURIE G LESSER OTR
Occupational Therapist (Pediatrics)
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619
Mercer County (609) 631-2800
MISS JILLIAN FRANCES QUEENEY CRNP
Nurse Practitioner (Pediatrics)
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619
Mercer County (609) 631-2800
MRS. CARLA G. HAGAN OTR
Occupational Therapist (Pediatrics)
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619
Mercer County (609) 631-2800
BARBARA LYNCH JANNEN PT, DPT
Physical Therapist
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619
Mercer County (609) 631-2800
DR. NOEMI SPINAZZI MD
Pediatrics
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619
Mercer County (609) 631-2811
MRS. LEIGH ANN BRUDER OTR
Occupational Therapist (Pediatrics)
3575 QUAKERBRIDGE RD
HAMILTON, NJ 08619
Mercer County (609) 631-2862

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 Matthew Mcdonald's NPI number?

The NPI number for Matthew Mcdonald is 1306004544. It was assigned to this individual provider in the NPPES registry on May 23, 2008.

Where is Matthew Mcdonald located?

Matthew Mcdonald practices at 3575 Quakerbridge Rd, Hamilton, NJ 08619. The listed phone number is (609) 631-2800.

What is Matthew Mcdonald's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Mcdonald enrolled in Medicare?

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

Which organization bills Medicare for Matthew Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Mcdonald reassigns Medicare benefits to Children's Specialized Hospital (New Brunswick, NJ). 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 Matthew Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Mcdonald accept?

Health plans from Oscar Health list Matthew 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 Matthew Mcdonald was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.