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JOHN M. MCDONALD JR. MD
NPI 1558301481
Emergency Medicine in Headland, AL

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
17925 US HWY 431 SOUTH, HEADLAND, AL 36345(334) 944-2490 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John M. Mcdonald Jr. Md NPPES

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

JOHN M. MCDONALD JR. MD (NPI 1558301481) is an individual emergency medicine provider in Headland, Alabama, licensed in Alabama (00025924) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dothan, and is a graduate of University Of South Alabama College Of Medicine (2001).

NPPES Registry Identity

NPI1558301481
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHN M. MCDONALD JR.Credential: MD
Location Address17925 US HWY 431 SOUTHHeadland, AL 36345
Mailing AddressPo Box 312Headland, AL 36345-0312 · (344) 232-2733
Phone(334) 944-2490
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2001
Enumeration DateJune 8, 2006
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1558301481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AL · 00025924
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD.25924 (AL)
17925 US HWY 431 SOUTH, Headland, AL 36345
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Secondary Practice Location 1

Location 14370 W Main StDothan, AL 36305-1056 · Phone (334) 793-5000 ext. 1100

Other Identifiers 1

Medicaid051522201AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.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

John M. Mcdonald Jr. Md 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 ID2062409063
PECOS Enrollment IDI20040907001312
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

2

Medicare enrollment records show John Mcdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Headland Urgent Care, LLC
Same address
Urgent Care
17925 US HWY 431 SOUTH
Headland, AL 36345
  • Reassigned Medicare billing, Alabama enrollment
  • 3 clinicians in this Medicare group
NPI 1447074729 (334) 423-2273
Keystone Medical Services Of Alabama, Inc.
47 mi
Emergency Medicine
1330 HIGHWAY 231 S
Troy, AL 36081
  • Reassigned Medicare billing, Alabama enrollment
  • 60 clinicians in this Medicare group
NPI 1790432243 (334) 670-5000

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 10

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
203 services63 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.
200 services76 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
116 services115 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
61 services12 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
59 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
59 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36345 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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

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

HEADLAND URGENT CARE, LLC
Clinic/Center (Urgent Care)
17925 US HWY 431 SOUTH
HEADLAND, AL 36345
Henry County (334) 423-2273

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 John Mcdonald's NPI number?

The NPI number for John Mcdonald is 1558301481. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is John Mcdonald located?

John Mcdonald practices at 17925 Us Hwy 431 South, Headland, AL 36345. The listed phone number is (334) 944-2490.

What is John Mcdonald's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Mcdonald enrolled in Medicare?

Yes. John 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 John Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Mcdonald reassigns Medicare benefits to 2 organizations: Headland Urgent Care, LLC (Headland, AL) and Keystone Medical Services Of Alabama, Inc. (Troy, AL). 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 John Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Mcdonald accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company and 1 other insurer list John 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 John Mcdonald was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.