DR. CHERYL EILEEN MCDONOUGH D.M.D.
NPI 1306829643
Dentist - General Practice in San Clemente, CA

Active since November 21, 2005Opted out of Medicare · through Aug 8, 2026
67 VIA PICO PLZ, SAN CLEMENTE, CA 92672(949) 492-0042(949) 492-0047 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Cheryl Eileen Mcdonough D.m.d. NPPES

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

DR. CHERYL EILEEN MCDONOUGH D.M.D. (NPI 1306829643) is an individual general practice provider in San Clemente, California, licensed in California (44939) and active in the NPI registry since November 2005. She has opted out of Medicare through August 8, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306829643
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHERYL EILEEN MCDONOUGHCredential: D.M.D.
Location Address67 VIA PICO PLZSan Clemente, CA 92672-3998
Mailing Address67 Via Pico PlzSan Clemente, CA 92672-3998 · (949) 492-0042 · Fax (949) 492-0047
Fax(949) 492-0047
Sole ProprietorNo
Enumeration DateNovember 21, 2005
Last NPPES UpdateSeptember 28, 2010
NPI 1306829643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 44939
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
67 VIA PICO PLZ, San Clemente, CA 92672

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Cheryl Eileen Mcdonough D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 8, 2016 through August 8, 2026.

Opt-Out Effective DateAugust 8, 2016
Opt-Out In Effect ThroughAugust 8, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92672 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

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

Clinic/Center (Dental)
67 VIA PICO PLZ
SAN CLEMENTE, CA 92672

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 Cheryl Mcdonough's NPI number?

The NPI number for Cheryl Mcdonough is 1306829643. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Cheryl Mcdonough located?

Cheryl Mcdonough practices at 67 Via Pico Plz, San Clemente, CA 92672. The listed phone number is (949) 492-0042.

What is Cheryl Mcdonough's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Cheryl Mcdonough enrolled in Medicare?

No. Cheryl Mcdonough has opted out of Medicare through August 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Cheryl Mcdonough accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Cheryl Mcdonough 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 Cheryl Mcdonough was last updated on September 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.