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DR. MARK W MCDONALD MD
NPI 1407140106
Family Medicine in Tyler, TX

Active since May 31, 2011PECOS Enrolled
629 WINDING BROOK LN, TYLER, TX 75703(903) 352-4840(903) 352-4840 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 9, 2017, Feb 8, 2016 (2 updates tracked since 2016).

About Dr. Mark W Mcdonald Md NPPES

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

DR. MARK W MCDONALD MD (NPI 1407140106) is an individual family medicine provider in Tyler, Texas, licensed in Texas (BP10041308) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407140106
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK W MCDONALDCredential: MD
Location Address629 WINDING BROOK LNTyler, TX 75703-0832
Mailing Address629 Winding Brook LnTyler, TX 75703-0832 · (903) 352-4840 · Fax (903) 352-4840
Phone(903) 352-4840
Fax(903) 352-4840
Sole ProprietorNo
Enumeration DateMay 31, 2011
Last NPPES UpdateJanuary 9, 20172 updates tracked since enumeration
✔ NPI 1407140106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · BP10041308
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 206929 (LA)
629 WINDING BROOK LN, Tyler, TX 75703
Open in Google Maps ↗

Other Identifiers 2

Medicaid2367145LA
Medicare PIN355259YWM2LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark W Mcdonald Md 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 Mark Mcdonald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Spine And Joint Hospital, LLC
6.1 mi
General Acute Care Hospital
1814 ROSELAND BLVD
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 46 clinicians in this Medicare group
NPI 1942292255 (903) 525-3300

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 75703 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Mark Mcdonald's NPI number?

The NPI number for Mark Mcdonald is 1407140106. It was assigned to this individual provider in the NPPES registry on May 31, 2011.

Where is Mark Mcdonald located?

Mark Mcdonald practices at 629 Winding Brook Ln, Tyler, TX 75703. The listed phone number is (903) 352-4840.

What is Mark Mcdonald's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Mcdonald enrolled in Medicare?

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

Which organization bills Medicare for Mark Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Mcdonald reassigns Medicare benefits to Texas Spine And Joint Hospital, LLC (Tyler, TX). 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 Mark Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Mcdonald was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.