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DR. KENNETH J MCDONALD PSYD
NPI 1366910028
Psychologist - Clinical in Boulder, CO

Active since November 10, 2018PECOS Enrolled
87.51/100
CMS Quality Rating
9347 SUGARLOAF RD, BOULDER, CO 80302(415) 264-9504 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2018, Nov 10, 2018 (2 updates tracked since 2018).

About Dr. Kenneth J Mcdonald Psyd NPPES

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

DR. KENNETH J MCDONALD PSYD (NPI 1366910028) is an individual clinical provider in Boulder, Colorado, licensed in Colorado (PSYC.00014021) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Estes Park.

NPPES Registry Identity

NPI1366910028
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KENNETH J MCDONALDCredential: PSYD
Location Address9347 SUGARLOAF RDBoulder, CO 80302-9221
Mailing Address9347 Sugarloaf RdBoulder, CO 80302-9221 · (415) 264-9504
Phone(415) 264-9504
Sole ProprietorYes
Enumeration DateNovember 10, 2018
Last NPPES UpdateNovember 14, 20182 updates tracked since enumeration
✔ NPI 1366910028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CO · PSYC.00014021
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
9347 SUGARLOAF RD, Boulder, CO 80302
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Secondary Practice Location 1

Location 1356 East Elkhorn Ave.Estes Park, CO 80517 · Phone (415) 264-9504

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth J Mcdonald Psyd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80302 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
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

87.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.81
Promoting Interoperability85.36
Improvement Activities40

Other Providers at the Same Location NPPES

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

NONE
Clinic/Center (Adult Mental Health)
9347 SUGARLOAF RD
BOULDER, CO 80302
Boulder County (415) 264-9504

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 Kenneth Mcdonald's NPI number?

The NPI number for Kenneth Mcdonald is 1366910028. It was assigned to this individual provider in the NPPES registry on November 10, 2018.

Where is Kenneth Mcdonald located?

Kenneth Mcdonald practices at 9347 Sugarloaf Rd, Boulder, CO 80302. The listed phone number is (415) 264-9504.

What is Kenneth Mcdonald's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kenneth Mcdonald enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenneth Mcdonald was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.