DR. DONALD J MCINTIRE M.D.
NPI 1316022189
Pediatrics in Avon, IN

Active since October 27, 2006PECOS Enrolled
9723 E US HIGHWAY 36, AVON, IN 46123(317) 272-4685 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2026, Jul 5, 2024, Jul 25, 2022 and 2 more (5 updates tracked since 2018).

About Dr. Donald J Mcintire M.d. NPPES

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

DR. DONALD J MCINTIRE M.D. (NPI 1316022189) is an individual pediatrics provider in Avon, Indiana, licensed in Indiana (01038641A) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316022189
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DONALD J MCINTIRECredential: M.D.
Location Address9723 E US HIGHWAY 36Avon, IN 46123-7979
Mailing Address9723 E Us Highway 36Avon, IN 46123-7979
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 28, 20265 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1316022189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IN · 01038641A✔ Licensed in IN · 01038641
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.
9723 E US HIGHWAY 36, Avon, IN 46123

Secondary Practice Locations 2

Location 12401 W University AveMuncie, IN 47303-3428 · Phone (765) 747-3111
Location 2590 Pit RdBrownsburg, IN 46112-7830 · Phone (317) 456-1100

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donald J Mcintire 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 Reassignments

5

Medicare enrollment records show Donald Mcintire reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
90 E GARNER RD
Brownsburg, IN 46112
  • Reassigned Medicare billing, Indiana enrollment
  • 146 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Pediatrics
2001 W 86TH ST
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 294 clinicians in this Medicare group
Internal Medicine
8402 HARCOURT RD STE 120
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 945 clinicians in this Medicare group
Family Medicine
1420 S PILGRIM BLVD
Yorktown, IN 47396
  • Reassigned Medicare billing, Indiana enrollment
  • 635 clinicians in this Medicare group

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 46123 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 2

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

Preventive Medicine (Occupational Medicine)
9723 E US HIGHWAY 36
AVON, IN 46123
Nurse Practitioner (Family)
9723 E US HIGHWAY 36
AVON, IN 46123

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 Mcintire's NPI number?

The NPI number for Donald Mcintire is 1316022189. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Donald Mcintire located?

Donald Mcintire practices at 9723 E Us Highway 36, Avon, IN 46123. The listed phone number is (317) 272-4685.

What is Donald Mcintire's specialty?

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

Is Donald Mcintire enrolled in Medicare?

Yes. Donald Mcintire is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Donald Mcintire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Mcintire reassigns Medicare benefits to 5 organizations: Indiana University Health Urgent Care Centers, LLC (Brownsburg, IN), Iu Health Medical Group, LLC (Indianapolis, IN), St Vincent Pediatric Subspecialties (Indianapolis, IN), St. Vincent Medical Group, Inc. (Indianapolis, IN) and Indiana University Health Ball Memorial Physicians, Inc. (Yorktown, IN). Each 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 Donald Mcintire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Mcintire accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Donald Mcintire 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 Donald Mcintire was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.