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DR. KIM L MCDONALD M.D.
NPI 1386636009
Internal Medicine in Florissant, MO

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
4585 WASHINGTON ST, SUITE C4, FLORISSANT, MO 63033(314) 838-8839(314) 838-4291 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2026, Feb 21, 2025, Jul 28, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Kim L Mcdonald M.d. NPPES

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

DR. KIM L MCDONALD M.D. (NPI 1386636009) is an individual internal medicine provider in Florissant, Missouri, licensed in Missouri (R4E37) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and maintains a secondary practice location in Florissant.

NPPES Registry Identity

NPI1386636009
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KIM L MCDONALDCredential: M.D.
Location Address4585 WASHINGTON ST, SUITE C4Florissant, MO 63033-5858
Mailing Address4585 Washington St, Suite C4Florissant, MO 63033-5858 · (314) 838-8839 · Fax (314) 838-4291
Phone(314) 838-8839
Fax(314) 838-4291
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 1984
Enumeration DateAugust 18, 2005
Last NPPES UpdateJuly 28, 20214 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
✔ NPI 1386636009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · R4E37
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4585 WASHINGTON ST, Florissant, MO 63033
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Secondary Practice Location 1

Location 14585 Washington St, Suite C4Florissant, MO 63033-5858 · Phone (314) 838-8839 · Fax (314) 838-4291

Other Identifiers 2

Other000014505MO · Medicare Group #
Medicaid501498406MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dr. Kim L Mcdonald M.d. 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 ID5799732517
PECOS Enrollment IDI20050406000000
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 3

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.
67 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63033 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers18 claims44 services$4.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims15 services$0.92 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims660 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$26.04 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 18

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

DR. H JOHN SCANLON DDS
Dentist (General Practice)
4585 WASHINGTON ST, SUITE A3
FLORISSANT, MO 63033
St. Louis County (314) 921-4333
MARK HILTON DDS
Dentist
4585 WASHINGTON ST, C-3
FLORISSANT, MO 63033
St. Louis County (314) 831-4660
DR. MARK DANIEL SUEOKA DDS
Dentist (General Practice)
4585 WASHINGTON ST, STE. B-2
FLORISSANT, MO 63033
St. Louis County (314) 838-5030
KIM LEE MCDONALD, M.D., P.C.
Internal Medicine
4585 WASHINGTON ST, SUITE C4
FLORISSANT, MO 63033
St. Louis County (314) 838-8839
DR. DONALD G ELITT DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
4585 WASHINGTON ST
FLORISSANT, MO 63033
St. Louis County (314) 837-4800
ADMINISTRATIVE SUPPORT SERVICES GROUP INC
Health Maintenance Organization
4585 WASHINGTON ST, SUITE A1
FLORISSANT, MO 63033
St. Louis County (314) 921-4860
MRS. BRENDA L GRANT LPN
Licensed Practical Nurse
4585 WASHINGTON ST, SUITE A-4
FLORISSANT, MO 63033
St. Louis County (314) 402-4693
ALI BADIHI, D.D.S., P.C., DBA
Dentist (General Practice)
4585 WASHINGTON ST, B-1
FLORISSANT, MO 63033
St. Louis County (314) 921-0100

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 Kim Mcdonald's NPI number?

The NPI number for Kim Mcdonald is 1386636009. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Kim Mcdonald located?

Kim Mcdonald practices at 4585 Washington St Suite C4, Florissant, MO 63033. The listed phone number is (314) 838-8839.

What is Kim Mcdonald's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kim Mcdonald enrolled in Medicare?

Yes. Kim Mcdonald 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 Kim Mcdonald accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Kim 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.

Is Kim Mcdonald affiliated with any hospitals?

According to CMS data, Kim Mcdonald is affiliated with Ssm Health St Mary's Hospital - St Louis and Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Kim Mcdonald was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.