MS. DORI M MACDONALD P.A.
NPI 1568519684
Physician Assistant - Medical in Tualatin, OR

NPI Status: Active since January 03, 2007

Contact Information

19185 SW 90TH AVE
TUALATIN, OR
ZIP 97062
Phone: (503) 885-7300

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About DORI MACDONALD

This page provides the complete NPI Profile along with additional information for Dori Macdonald, a primary care provider established in Tualatin, Oregon with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1568519684 assigned on January 2007. The practitioner's primary taxonomy code is 363AM0700X with license number PA00313 (OR). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1568519684
Provider Name
MS. DORI M MACDONALD P.A.
Gender
Female
Entity Type
Individual
Location Address
19185 SW 90TH AVE TUALATIN, OR 97062
Location Phone
(503) 885-7300
Mailing Address
19185 SW 90TH AVE TUALATIN, OR 97062
Mailing Phone
(503) 885-7300
Is Sole Proprietor?
No
Enumeration Date
01-03-2007
Last Update Date
07-11-2007
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A primary care provider (PCP) like Dori Macdonald sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA00313
License State
OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PA00313OTHER (01)OROREGON BOARD LICENSE

Medicare Participation & PECOS Enrollment Status

Dori Macdonald is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Pillow for use on nasal cannula type interface, replacement only, pair (HCPCS:A7033)

    2 DME suppliers used 11 Medicare Claims 31 Services Paid

  • DME-Other DME (DE001N)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    4 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    5 DME suppliers used 17 Medicare Claims 82 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

This service was performed 13 times for 13 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 13 times for 13 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 19 times for 18 patients

New patient office or other outpatient visit, 30-44 minutes

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.

This service was performed 17 times for 17 patients

New patient office or other outpatient visit, 45-59 minutes

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.

This service was performed 16 times for 16 patients

Reviews for MS. DORI M MACDONALD P.A.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568519684, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 1 + 0 + 1 + 1 + 8 + 6 + 1 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1568519684.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
19185 SW 90TH AVE
TUALATIN, OR 97062
Pediatrics
19185 SW 90TH AVE
TUALATIN, OR 97062
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
19185 SW 90TH AVE
TUALATIN, OR 97062
Family Medicine
19185 SW 90TH AVE
TUALATIN, OR 97062
Counselor (Addiction (Substance Use Disorder))
19185 SW 90TH AVE
TUALATIN, OR 97062
Pediatrics
19185 SW 90TH AVE
TUALATIN, OR 97062
Social Worker (Clinical)
19185 SW 90TH AVE
TUALATIN, OR 97062
Physical Therapist
19185 SW 90TH AVE
TUALATIN, OR 97062
Counselor (Mental Health)
19185 SW 90TH AVE
TUALATIN, OR 97062
Family Medicine
19185 SW 90TH AVE
TUALATIN, OR 97062
Nurse Practitioner (Family)
19185 SW 90TH AVE
TUALATIN, OR 97062
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
19185 SW 90TH AVE
TUALATIN, OR 97062
Family Medicine
19185 SW 90TH AVE
TUALATIN, OR 97062
Pediatrics
19185 SW 90TH AVE
TUALATIN, OR 97062
Physician Assistant (Medical)
19185 SW 90TH AVE
TUALATIN, OR 97062
Internal Medicine (Geriatric Medicine)
19185 SW 90TH AVE
TUALATIN, OR 97062
Internal Medicine
19185 SW 90TH AVE
TUALATIN, OR 97062
Internal Medicine
19185 SW 90TH AVE
TUALATIN, OR 97062
Pharmacist
19185 SW 90TH AVE
TUALATIN, OR 97062
Physical Therapy Assistant
19185 SW 90TH AVE
TUALATIN, OR 97062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568519684, enumerated as an "individual" on January 03, 2007.

The provider is located at 19185 SW 90TH AVE TUALATIN, OR 97062 and the phone number is (503) 885-7300.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.