KATHLEEN R MCDONALD MD
NPI 1558344077
Otolaryngology in Houston, TX

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
11914 ASTORIA BLVD, #360, HOUSTON, TX 77089(281) 484-3981(281) 481-0182 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 10, 2022, Oct 21, 2019, Sep 16, 2019 (3 updates tracked since 2019).

About Kathleen R Mcdonald Md NPPES

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

KATHLEEN R MCDONALD MD (NPI 1558344077) is an individual otolaryngology provider in Houston, Texas, licensed in Texas (K0125) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1558344077
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameKATHLEEN R MCDONALDCredential: MD
Location Address11914 ASTORIA BLVD, #360Houston, TX 77089-6064
Mailing Address14140 Southwest Fwy Ste 200Sugar Land, TX 77478-3842 · (281) 649-7000 · Fax (713) 484-6649
Fax(281) 481-0182
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 29, 2005
Last NPPES UpdateMay 10, 20223 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
NPI 1558344077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in TX · K0125
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
11914 ASTORIA BLVD, Houston, TX 77089

Other Identifiers 2

OtherTXB166198TX · Medicare - Group#
Medicaid101528102TX

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

Kathleen R Mcdonald 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 ID6800932278
PECOS Enrollment IDI20100406000306
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 13

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.
313 services198 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
309 services30 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.
275 services199 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
159 services108 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.
134 services134 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
108 services91 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77089 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Internal Medicine
11914 ASTORIA BLVD, # 210
HOUSTON, TX 77089
Internal Medicine (Infectious Disease)
11914 ASTORIA BLVD, SUITE 130
HOUSTON, TX 77089
Clinical Nurse Specialist (Adult Health)
11914 ASTORIA BLVD, SUITE 125
HOUSTON, TX 77089
Pediatrics
11914 ASTORIA BLVD, #450
HOUSTON, TX 77089
Obstetrics & Gynecology (Gynecology)
11914 ASTORIA BLVD, SUITE 260
HOUSTON, TX 77089
Internal Medicine
11914 ASTORIA BLVD, SUITE 185
HOUSTON, TX 77089
Pediatrics
11914 ASTORIA BLVD, SUITE 450
HOUSTON, TX 77089
Psychiatry & Neurology (Neuromuscular Medicine)
11914 ASTORIA BLVD
HOUSTON, TX 77089

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 Kathleen Mcdonald's NPI number?

The NPI number for Kathleen Mcdonald is 1558344077. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Kathleen Mcdonald located?

Kathleen Mcdonald practices at 11914 Astoria Blvd #360, Houston, TX 77089. The listed phone number is (281) 484-3981.

What is Kathleen Mcdonald's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kathleen Mcdonald enrolled in Medicare?

Yes. Kathleen 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 Kathleen Mcdonald accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Kathleen 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 Kathleen Mcdonald affiliated with any hospitals?

According to CMS data, Kathleen Mcdonald is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Kathleen Mcdonald was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.