DAVID HAMILTON MACDONALD D.O.
NPI 1528285210
Orthopaedic Surgery - Hand Surgery in Leesburg, GA

Active since April 20, 2007PECOS EnrolledAccepts Medicare Assignment
63.63/100
CMS Quality Rating
117 OAKLAND PKWY, LEESBURG, GA 31763(229) 483-0055 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2025, Mar 22, 2016 (2 updates tracked since 2016).

About David Hamilton Macdonald D.o. NPPES

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

DAVID HAMILTON MACDONALD D.O. (NPI 1528285210) is an individual hand surgery provider in Leesburg, Georgia, licensed in Georgia (068424) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2001).

NPPES Registry Identity

NPI1528285210
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDAVID HAMILTON MACDONALDCredential: D.O.
Location Address117 OAKLAND PKWYLeesburg, GA 31763-7201
Mailing AddressPo Box 370Fortson, GA 31808-0370 · (706) 494-3171
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2001
Enumeration DateApril 20, 2007
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
NPI 1528285210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
Licenses Licensed in GA · 068424 Licensed in AL · DO.939 Licensed in TX · N8032
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
117 OAKLAND PKWY, Leesburg, GA 31763

Other Identifiers 1

OtherN8032TX · Texas Medical Board Physician Permit

Accepted 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

David Hamilton Macdonald D.o. 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 ID5496936775
PECOS Enrollment IDI20120817000222, I20120820000704
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 18

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 hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
279 services196 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.
252 services252 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.
192 services142 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.
176 services149 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
98 services62 patients
Aspiration and/or injection of fluid from medium joint 20605
This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.
78 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31763 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

63.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality36.6
Promoting Interoperability95
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
0%762 patients1/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
4%1,036 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
57%3,749 patients2/55-star benchmark: 100%
e-Prescribing
99%213 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
17%2,488 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
14%3,576 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 1,703 patients
1%1,703 patients
Provide Patients Electronic Access to Their Health Information
80%852 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%93 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 928 patients
Patients totalRate: 1% · 928 patients
1%928 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3906
DME-Orthotic Devices · category DF000N
3 suppliers11 claims11 services$284.87 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 5

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

Physical Therapist
117 OAKLAND PKWY
LEESBURG, GA 31763
Physical Therapist
117 OAKLAND PKWY
LEESBURG, GA 31763
Physical Therapist
117 OAKLAND PKWY
LEESBURG, GA 31763
Durable Medical Equipment & Medical Supplies
117 OAKLAND PKWY
LEESBURG, GA 31763
Physical Therapist
117 OAKLAND PKWY
LEESBURG, GA 31763

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 David Macdonald's NPI number?

The NPI number for David Macdonald is 1528285210. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is David Macdonald located?

David Macdonald practices at 117 Oakland Pkwy, Leesburg, GA 31763. The listed phone number is (229) 483-0055.

What is David Macdonald's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is David Macdonald enrolled in Medicare?

Yes. David Macdonald 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 David Macdonald accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list David Macdonald 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 David Macdonald was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.