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DR. RALPH NORMAN MC DONALD M.D.
NPI 1609839901
Internal Medicine - Cardiovascular Disease in Hickory, NC

Active since April 08, 2006PECOS Enrolled
75/100
CMS Quality Rating
1771 TATE BLVD SE, SUITE 201, HICKORY, NC 28602(828) 324-4804(828) 324-7256 Get Directions Write a Review

NPPES record last updated: December 4, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ralph Norman Mc Donald M.d. NPPES

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

DR. RALPH NORMAN MC DONALD M.D. (NPI 1609839901) is an individual cardiovascular disease provider in Hickory, North Carolina, licensed in North Carolina (000032266) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609839901
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. RALPH NORMAN MC DONALDCredential: M.D.
Location Address1771 TATE BLVD SE, SUITE 201Hickory, NC 28602-4249
Mailing Address1771 Tate Blvd Se, Suite 201Hickory, NC 28602-4249 · (828) 324-4804 · Fax (828) 324-7256
Phone(828) 324-4804
Fax(828) 324-7256
Sole ProprietorNo
Enumeration DateApril 8, 2006
Last NPPES UpdateDecember 4, 2013
✔ NPI 1609839901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NC · 000032266
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1771 TATE BLVD SE, Hickory, NC 28602
Open in Google Maps ↗

Other Identifiers 4

Other56269NC · Bcbs Of Nc Provider Id#
Medicaid8956269NC
Medicare UPINA72795NC
Medicare PIN208679CNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 (PECOS)

Dr. Ralph Norman Mc Donald M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Ralph Mc Donald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dlp Frye Medical Group LLC
Same address
Orthopaedic Surgery
1771 TATE BLVD SE STE 101
Hickory, NC 28602
  • Reassigned Medicare billing, North Carolina enrollment
  • 228 clinicians in this Medicare group
NPI 1780358176 (828) 815-5110

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 12

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.
448 services282 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
63 services61 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
54 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services35 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
42 services42 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
40 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28602 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 through an Alternative Payment Model

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
14%255 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
4%713 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
8%163 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,539 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%4,050 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
20%157 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%222 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
27%1,581 patients2/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
9%1,021 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
20%1,409 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
7%882 patients1/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
1%1,370 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 677 patients
Patients tobacco: 11% · 85 patients
89%677 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
47%1,581 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%1,581 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
15%1,581 patients
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.

Other Providers at the Same Location NPPES 16

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

CATAWBA VALLEY INTERNAL MEDICINE PA
Internal Medicine
1771 TATE BLVD SE, SUITE 103
HICKORY, NC 28602
Catawba County (828) 322-1128
UNIFOUR SURGICAL ASSOICATES, PA
Surgery
1771 TATE BLVD SE, SUITE 101
HICKORY, NC 28602
Catawba County (828) 322-9105
HICKORY CARDIOLOGY ASSOCIATES PLLC
Internal Medicine (Cardiovascular Disease)
1771 TATE BLVD SE, SUITE 201
HICKORY, NC 28602
Catawba County (828) 324-4804
CATAWBA VALLEY INTERNAL MEDICINE
Psychiatry & Neurology (Psychiatry)
1771 TATE BLVD SE, STE 103
HICKORY, NC 28602
Catawba County (828) 322-1128
DR. THOMAS MICHAEL WILEY M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1771 TATE BLVD SE, SUITE 201
HICKORY, NC 28602
Catawba County (828) 324-4804
PROFESSIONAL SLEEP DIAGNOSTICS
Clinic/Center (Sleep Disorder Diagnostic)
1771 TATE BLVD SE, SUITE #102
HICKORY, NC 28602
Catawba County (828) 485-2955
DLP CARDIOLOGY PHYSICIANS LLC
Internal Medicine (Cardiovascular Disease)
1771 TATE BLVD SE, STE 201
HICKORY, NC 28602
Catawba County (615) 920-7000
DR. SANJAY KUMAR PATEL M.D.
Internal Medicine (Cardiovascular Disease)
1771 TATE BLVD SE, SUITE 201
HICKORY, NC 28602
Catawba County (828) 324-4804

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 Ralph Mc Donald's NPI number?

The NPI number for Ralph Mc Donald is 1609839901. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Where is Ralph Mc Donald located?

Ralph Mc Donald practices at 1771 Tate Blvd SE Suite 201, Hickory, NC 28602. The listed phone number is (828) 324-4804.

What is Ralph Mc Donald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ralph Mc Donald enrolled in Medicare?

Yes. Ralph Mc Donald is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ralph Mc Donald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ralph Mc Donald reassigns Medicare benefits to Dlp Frye Medical Group LLC (Hickory, NC). The 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 Ralph Mc Donald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ralph Mc Donald accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Ralph Mc Donald 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 Ralph Mc Donald was last updated on December 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.