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DR. MARGARITA ELENA MCDONALD M.D.
NPI 1477816528
Family Medicine - Obesity Medicine in Flourtown, PA

Active since June 22, 2012PECOS EnrolledAccepts Medicare Assignment
8 E MILL RD, FLOURTOWN, PA 19031(215) 392-9911(714) 276-2677 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 30, 2023, Jul 21, 2022, Jul 22, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Margarita Elena Mcdonald M.d. NPPES

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

DR. MARGARITA ELENA MCDONALD M.D. (NPI 1477816528) is an individual obesity medicine provider in Flourtown, Pennsylvania, licensed in Pennsylvania (MD433576) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wyncote, and is a graduate of Tufts University School Of Medicine (2005).

NPPES Registry Identity

NPI1477816528
Entity TypeIndividualFemale
Primary Taxonomy207QB0002X
Provider Legal NameDR. MARGARITA ELENA MCDONALDCredential: M.D.
Location Address8 E MILL RDFlourtown, PA 19031-2027
Mailing Address809 Easton RdWillow Grove, PA 19090-2004 · (215) 392-9911 · Fax (215) 392-9913
Phone(215) 392-9911
Fax(714) 276-2677
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2005
Enumeration DateJune 22, 2012
Last NPPES UpdateJanuary 30, 20236 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
✔ NPI 1477816528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QB0002X
License✔ Licensed in PA · MD433576
Definition
A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD433576 (PA)
8 E MILL RD, Flourtown, PA 19031
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Secondary Practice Location 1

Location 12401 W Cheltenham AveWyncote, PA 19095-2946 · Phone (215) 935-6777

Other Identifiers 2

Other6482143PA · Aetna Pin
Medicaid103012741PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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. Margarita Elena 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 ID4385891043
PECOS Enrollment IDI20150429002181
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 6

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.
162 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.
55 services54 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services15 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.
16 services16 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19031 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 4

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

BARIATRIC MEDICINE INSTITUTE
Family Medicine (Obesity Medicine)
8 E MILL RD
FLOURTOWN, PA 19031
Montgomery County (215) 392-9911
AMAR N. GULATI, PC - RAYTEL MEDICAL IMAGING
Radiology (Diagnostic Radiology)
8 E MILL RD
FLOURTOWN, PA 19031
Montgomery County (215) 836-9010
EVANGELIA A JOHNS LSW
Family Medicine (Obesity Medicine)
8 E MILL RD
FLOURTOWN, PA 19031
Montgomery County (215) 392-9911
MONTGOMERY RADIOLOGY, P.C.
Clinic/Center (Radiology)
8 E MILL RD
FLOURTOWN, PA 19031
Montgomery County (215) 836-9010

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 Margarita Mcdonald's NPI number?

The NPI number for Margarita Mcdonald is 1477816528. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Margarita Mcdonald located?

Margarita Mcdonald practices at 8 E Mill Rd, Flourtown, PA 19031. The listed phone number is (215) 392-9911.

What is Margarita Mcdonald's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

Is Margarita Mcdonald enrolled in Medicare?

Yes. Margarita 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 Margarita Mcdonald accept?

Health plans from AvMed list Margarita 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.

When was this NPI record last updated?

The NPPES record for Margarita Mcdonald was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.