Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICAH DANIEL MCDONALD PA-C
NPI 1558658062
Physician Assistant in Fredericksburg, VA

Q: What is Micah Mcdonald's NPI number?

The NPI number for Micah Mcdonald is 1558658062. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Q: What is Micah Mcdonald's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Micah Mcdonald was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.

Active since July 05, 2011PECOS Enrolled

1101 SAM PERRY BLVD STE 318, FREDERICKSBURG, VA 22401(540) 372-7792 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 23, 2026, Aug 6, 2026, Jan 7, 2022 and 1 more (4 updates tracked since 2020).

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About Micah Daniel Mcdonald Pa-c NPPES

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

MICAH DANIEL MCDONALD PA-C (NPI 1558658062) is an individual physician assistant in Fredericksburg, Virginia, licensed in Virginia (0110006139) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1558658062

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMICAH DANIEL MCDONALDCredential: PA-C

Location Address1101 SAM PERRY BLVD STE 318Fredericksburg, VA 22401-4466

Mailing Address1340 Central Park Blvd Ste 100Fredericksburg, VA 22401-4940

Phone(540) 372-7792

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 5, 2011

Last NPPES UpdateSeptember 23, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ NPI 1558658062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in VA · 0110006139

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1101 SAM PERRY BLVD STE 318, Fredericksburg, VA 22401

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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

Micah Daniel Mcdonald Pa-c 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 ID7416125919

PECOS Enrollment IDI20180817002013

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 2

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.

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

24 services24 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490007

Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

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.

GRACE CRAWFORD OSBORN KOPESKY BSN, RN

Nurse Practitioner