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MICHAEL MCDONALD DO
NPI 1457892879
Orthopaedic Surgery in Clinton Twp, MI

Active since March 18, 2017PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
15855 19 MILE RD, CLINTON TWP, MI 48038(586) 263-2973 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2026, Feb 2, 2026, Nov 20, 2024 and 7 more (10 updates tracked since 2017).

About Michael Mcdonald Do NPPES

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

MICHAEL MCDONALD DO (NPI 1457892879) is an individual orthopaedic surgery provider in Clinton Twp, Michigan, licensed in Michigan (5101023426) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1457892879
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL MCDONALDCredential: DO
Location Address15855 19 MILE RDClinton Twp, MI 48038-3504
Mailing Address1105 Sixth StTraverse City, MI 49684-2345
Phone(586) 263-2973
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2017
Enumeration DateMarch 18, 2017
Last NPPES UpdateMarch 12, 202610 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1457892879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MI · 5101023426
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
15855 19 MILE RD, Clinton Twp, MI 48038
Open in Google Maps ↗

Secondary Practice Locations 6

Location 114695 Park Ave Ste ACharlevoix, MI 49720-1920 · Phone (231) 547-2812
Location 23537 W Front St Ste ETraverse City, MI 49684-7943 · Phone (231) 935-5880
Location 31345 E Parkdale AveManistee, MI 49660-9318 · Phone (231) 398-1750
Location 48872 Professional Dr Ste BCadillac, MI 49601-8482 · Phone (231) 779-0320
Location 51619 Anderson RdPetoskey, MI 49770-9256 · Phone (231) 547-2812
Location 61105 Sixth StTraverse City, MI 49684-2345 · Phone (231) 935-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Mcdonald Do 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 ID5395014146
PECOS Enrollment IDI20231228000461
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

4

Medicare enrollment records show Michael Mcdonald reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Munson Healthcare Cadillac
157 mi
Rural Health
100 N ROLAND ST
Mc Bain, MI 49657
  • Reassigned Medicare billing, Michigan enrollment
  • 156 clinicians in this Medicare group
NPI 1336539063 (231) 825-8101
Munson Healthcare Cadillac
157 mi
Family Medicine
100 N ROLAND ST
Mc Bain, MI 49657
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Munson Healthcare Otsego Memorial Hospital
  • 168 clinicians in this Medicare group
NPI 1043778194 (231) 825-8101
Munson Medical Center
198 mi
Pain Medicine
550 MUNSON AVE
Traverse City, MI 49686
  • Reassigned Medicare billing, Michigan enrollment
  • 492 clinicians in this Medicare group
NPI 1306277553 (231) 935-8540
Munson Healthcare Manistee Hospital
202 mi
General Acute Care Hospital
1465 E PARKDALE AVE
Manistee, MI 49660
  • Reassigned Medicare billing, Michigan enrollment
  • 55 clinicians in this Medicare group
NPI 1407949191 (231) 398-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

X-ray of thigh bone, minimum 2 views 73552
An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.
48 services22 patients
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.
44 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services41 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
40 services18 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.
39 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230058
Location1100 E Michigan AveGrayling, MI 49738 · Crawford County
Emergency services Birthing friendly

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230081
Location400 Hobart StCadillac, MI 49601 · Wexford County
Emergency services Birthing friendly

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number231301
Location419 S CoralKalkaska, MI 49646 · Kalkaska County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 20

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

MS. LEEANN WICKENS P.A.
Physician Assistant
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 203-1940
CYNTHIA GEE D.O.
Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (701) 340-2053
SARAH E NELSON
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (313) 623-7602
MS. KARA NICOLE SZCZOMAK PA-C
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2601
EMILY SOPEL
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2300
ANTONIO MACERI MD
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2300
HENRY FORD MACOMB HOSPITAL CORPORATION
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (568) 263-2705
JEFFREY A BERG CRNA
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2370

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 Michael Mcdonald's NPI number?

The NPI number for Michael Mcdonald is 1457892879. It was assigned to this individual provider in the NPPES registry on March 18, 2017.

Where is Michael Mcdonald located?

Michael Mcdonald practices at 15855 19 Mile Rd, Clinton Twp, MI 48038. The listed phone number is (586) 263-2973.

What is Michael Mcdonald's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Mcdonald enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mcdonald reassigns Medicare benefits to 4 organizations: Munson Healthcare Cadillac (Mc Bain, MI), Munson Healthcare Cadillac (Mc Bain, MI), Munson Medical Center (Traverse City, MI) and Munson Healthcare Manistee Hospital (Manistee, MI). 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 Michael Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Mcdonald accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Michael 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 Michael Mcdonald affiliated with any hospitals?

According to CMS data, Michael Mcdonald is affiliated with Munson Healthcare Grayling Hospital, Munson Healthcare Cadillac Hospital, Munson Medical Center and Kalkaska Memorial Health Center.

When was this NPI record last updated?

The NPPES record for Michael Mcdonald was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.