MICHAEL B MCDONALD MD
NPI 1609876036
Internal Medicine - Interventional Cardiology in Germantown, TN

Q: What is Michael Mcdonald's NPI number?

The NPI number for Michael Mcdonald is 1609876036. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Michael Mcdonald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mcdonald was last updated on January 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

7460 WOLF RIVER BOULEVARD, GERMANTOWN, TN 38138(901) 763-0200(901) 761-4002 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michael B Mcdonald Md NPPES

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

MICHAEL B MCDONALD MD (NPI 1609876036) is an individual interventional cardiology provider in Germantown, Tennessee, licensed in Tennessee (14851) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1982).

NPPES Registry Identity

NPI1609876036

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameMICHAEL B MCDONALDCredential: MD

Location Address7460 WOLF RIVER BOULEVARDGermantown, TN 38138

Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655

Phone(901) 763-0200

Fax(901) 761-4002

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1982

Enumeration DateJuly 28, 2005

Last NPPES UpdateJanuary 9, 2024

NPPES CertifiedJanuary 9, 2024

✔ NPI 1609876036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in TN · 14851✔ Licensed in AR · N-8032✔ Licensed in MS · 12246

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 14851 (TN), N-8032 (AR), 12246 (MS)

7460 WOLF RIVER BOULEVARD, Germantown, TN 38138

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Other Identifiers 4

Medicaid00117170MS

Other4270260TN · Bcbs

Medicaid114536001AR

Medicaid1519965TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Michael B 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 ID7315029055

PECOS Enrollment IDI20100508000006, I20140109000988

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.

451 services413 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.

262 services124 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.

163 services163 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.

94 services91 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

71 services64 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

52 services47 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

30 services30 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

27 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

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.

25 services25 patients

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional 93272

An Electrocardiogram (ECG) is a test that records the electrical activity of your heart. For up to 30 days, a device will continuously monitor your heart's rhythm, noting any symptoms. The data is sent to a healthcare professional who reviews it and provides a report on your heart health.

23 services23 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

20 services17 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

19 services19 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

18 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS

1/5 CMS rating

OwnershipProprietary

CMS Certification Number250141

Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County

Emergency services Birthing friendly

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250167

Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County

Emergency services Birthing friendly

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440048

Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County

Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440049

Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38138 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

75/100

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

Individually scored

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Other Providers at the Same Location NPPES 14

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

BRENDA S COLE NP

Nurse Practitioner

7460 WOLF RIVER BOULEVARD, THE SUTHERLAND CARDIOLOGY CLINIC, P. C.
GERMANTOWN, TN 38138

Shelby County (901) 763-0200

DR. BEVERLY W DANLEY M.D.

Specialist

7460 WOLF RIVER BOULEVARD
GERMANTOWN, TN 38138

Shelby County (901) 763-0200

LISA JACKSON YOUNG M.D.

Internal Medicine (Cardiovascular Disease)

7460 WOLF RIVER BOULEVARD
GERMANTOWN, TN 38138

Shelby County (901) 763-0200

JAMES J STAMPER MD

Internal Medicine (Cardiovascular Disease)

7460 WOLF RIVER BOULEVARD
GERMANTOWN, TN 38138

Shelby County (901) 763-0200

DR. BELA B HACKMAN M.D.

Specialist

7460 WOLF RIVER BOULEVARD
GERMANTOWN, TN 38138

Shelby County (901) 763-0200

DR. JACK T HOPKINS JR. M.D.

Internal Medicine (Cardiovascular Disease)

7460 WOLF RIVER BOULEVARD
GERMANTOWN, TN 38138

Shelby County (901) 763-0200

TERRI L HALL NP

Nurse Practitioner (Acute Care)

7460 WOLF RIVER BOULEVARD, THE SUTHERLAND CARDIOLOGY CLINIC, P. C.
GERMANTOWN, TN 38138

Shelby County (901) 763-0200

DAVID G STEWART MD

Internal Medicine (Interventional Cardiology)

7460 WOLF RIVER BOULEVARD
GERMANTOWN, TN 38138

Shelby County (901) 763-0200

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 Michael Mcdonald's NPI number?

The NPI number for Michael Mcdonald is 1609876036. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Michael Mcdonald located?

Michael Mcdonald practices at 7460 Wolf River Boulevard, Germantown, TN 38138. The listed phone number is (901) 763-0200.

What is Michael Mcdonald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Michael Mcdonald enrolled in Medicare?

Yes. Michael 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 Michael Mcdonald accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Michael 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 Michael Mcdonald affiliated with any hospitals?

According to CMS data, Michael Mcdonald is affiliated with Baptist Memorial Hospital Desoto, Methodist Healthcare - Olive Branch Hospital, Baptist Memorial Hospital and Methodist Hospitals Of Memphis.

When was this NPI record last updated?

The NPPES record for Michael Mcdonald was last updated on January 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.