DR. THOMAS J MCDONALD JR. MD
NPI 1609848696
Internal Medicine - Gastroenterology in Sayre, PA

Q: What is Thomas Mcdonald's NPI number?

The NPI number for Thomas Mcdonald is 1609848696. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Q: What is Thomas Mcdonald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Mcdonald was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 03, 2006PECOS EnrolledAccepts Medicare Assignment

82.9/100

CMS Quality Rating

1 GUTHRIE SQ, SAYRE, PA 18840(570) 888-5858 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Thomas J Mcdonald Jr. Md NPPES

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

DR. THOMAS J MCDONALD JR. MD (NPI 1609848696) is an individual gastroenterology provider in Sayre, Pennsylvania, licensed in Pennsylvania (MD032268E) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Hahnemann University College Of Medicine (1983).

NPPES Registry Identity

NPI1609848696

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. THOMAS J MCDONALD JR.Credential: MD

Location Address1 GUTHRIE SQSayre, PA 18840-1625

Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858

Phone(570) 888-5858

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 1983

Enumeration DateFebruary 3, 2006

Last NPPES UpdateMarch 29, 2021

NPPES CertifiedMarch 29, 2021

✔ NPI 1609848696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in PA · MD032268E✔ Licensed in NY · 179149-1

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1 GUTHRIE SQ, Sayre, PA 18840

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Other Identifiers 7

Other100014271PA · Rr Medicare Pin

OtherP00315704NY · Rr Medicare Pin

Medicaid0010401180002PA

OtherCC8362NY · Rr Medicare Group

OtherCC9269PA · Rr Medicare Group

OtherGU616091PA · Pa Medicare Group

Medicaid01131704NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.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

Dr. Thomas J 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 ID7911022074

PECOS Enrollment IDI20100913000601, I20101029000004

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 Thomas Mcdonald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Guthrie Medical Group, P.C.

4.1 mi

Family Medicine

412 S MAIN ST
Athens, PA 18810

Reassigned Medicare billing, Pennsylvania and New York enrollments
Medicare enrollment name: Guthrie Medical Group PC
Also billed through NPI 1245246644 (New York)
830 clinicians in this Medicare group

NPI 1962451153 (570) 888-9655

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 20

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

163 services161 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

137 services136 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

121 services116 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.

103 services57 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

83 services82 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

55 services54 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth 43237

This procedure involves a flexible tube with a camera and ultrasound device, inserted through the mouth to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like inflammation, tumors, or other abnormalities.

48 services46 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.

41 services31 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

41 services41 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

36 services36 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

33 services31 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

28 services27 patients

Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope 43238

An ultrasound guided needle aspiration or biopsy of the esophagus involves using a flexible tube with a camera (endoscope) to view your esophagus. An ultrasound device on the endoscope helps to guide a needle to take a small tissue sample for testing. This is a safe, minimally invasive procedure.

25 services23 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

21 services21 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

21 services21 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

20 services20 patients

Measurement of hydrogen in breath to test for stomach and bowel symptoms 91065

This test involves breathing into a bag to measure hydrogen levels in your breath. High levels can indicate issues with food digestion or absorption in your stomach or intestines. It's non-invasive, painless, and helps diagnose certain gastrointestinal conditions.

19 services19 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

18 services16 patients

Incision of pancreatic outlet using a flexible endoscope 43262

This procedure involves a small cut in the outlet of the pancreas using a flexible tube with a camera, called an endoscope. It helps doctors diagnose and treat conditions affecting the pancreas, enhancing patient comfort and recovery.

12 services12 patients

Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43247

This procedure involves using a flexible instrument, called an endoscope, to remove foreign objects lodged in the esophagus, stomach, or upper small bowel. The endoscope is gently inserted through the mouth to reach the affected area and safely extract the foreign body.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330011

Location169 Riverside DriveBinghamton, NY 13905 · Broome County

Emergency services Birthing friendly

Corning Hospital

Acute Care Hospitals · Corning, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330277

Location1 Guthrie DriveCorning, NY 14830 · Steuben County

Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390079

LocationOne Guthrie SquareSayre, PA 18840 · Bradford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18840 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

82.9/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.09

Promoting Interoperability

100

Improvement Activities

Cost

65.94

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.

DR. PHILLIP LUNSFORD MD

Emergency Medicine

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 888-5858

MRS. MELISSA FOX OTR/L

Occupational Therapist

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 887-4801

DR. PREMJEET SINGH DHILLON MD

Internal Medicine

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 888-6666

WILLIAM HUNTER EDWARDS

Student in an Organized Health Care Education/Training Program

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 888-6666

DONNA L TAMKIN MD

Radiology (Diagnostic Radiology)

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 888-5858

DR. BRUCE C SLAGLE M.D.

Hospitalist

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 888-5858

MS. EMILY S. OBERST PA-C

Physician Assistant

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 888-5858

GUTHRIE MEDICAL GROUP PC

Physical Medicine & Rehabilitation (Pain Medicine)

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 887-2201

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 Thomas Mcdonald's NPI number?

The NPI number for Thomas Mcdonald is 1609848696. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Thomas Mcdonald located?

Thomas Mcdonald practices at 1 Guthrie Sq, Sayre, PA 18840. The listed phone number is (570) 888-5858.

What is Thomas Mcdonald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Thomas Mcdonald enrolled in Medicare?

Yes. Thomas 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 organization bills Medicare for Thomas Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Mcdonald reassigns Medicare benefits to Guthrie Medical Group, P.C. (Athens, PA). 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 Thomas Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Mcdonald accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Thomas 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 Thomas Mcdonald affiliated with any hospitals?

According to CMS data, Thomas Mcdonald is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Corning Hospital and Robert Packer Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Mcdonald was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.