JOHN WILLIAM MCDONNELL JR. PA-C
NPI 1669081865
Physician Assistant - Surgical in Setauket, NY

Active since July 24, 2020PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
14 TECHNOLOGY DR, SETAUKET, NY 11733(631) 444-4233 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Apr 10, 2021, Jul 24, 2020 (3 updates tracked since 2020).

About John William Mcdonnell Jr. Pa-c NPPES

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

JOHN WILLIAM MCDONNELL JR. PA-C (NPI 1669081865) is an individual surgical provider in Setauket, New York, licensed in New York (025301) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1669081865
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOHN WILLIAM MCDONNELL JR.Credential: PA-C
Location Address14 TECHNOLOGY DRSetauket, NY 11733-3472
Mailing Address14 Technology DrSetauket, NY 11733-3472 · (631) 444-4233
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 24, 2020
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
NPI 1669081865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 025301
Also ListedPhysician AssistantTaxonomy 363A00000X · License 025301 (NY)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 025301 (NY)
14 TECHNOLOGY DR, Setauket, NY 11733

Secondary Practice Locations 4

Location 1301 E Main StBay Shore, NY 11706-8408 · Phone (631) 968-3000
Location 246 Clearview AveSelden, NY 11784-3522 · Phone (570) 971-2546
Location 3101 Nicolls RdStony Brook, NY 11794-8408 · Phone (631) 689-8333
Location 46 Technology Dr Ste 100East Setauket, NY 11733-4079 · Phone (631) 689-6698 · Fax (631) 751-5548

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

John William Mcdonnell Jr. 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 ID6507275658
PECOS Enrollment IDI20210503000727
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.

Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older 36573
This procedure involves placing a tube into a vein for medication or fluid delivery. Imaging guidance helps ensure correct placement, while a radiologist reviews the process for safety. It's suitable for patients aged 5 and above.
34 services34 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

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.

Orthopaedic Surgery (Orthopaedic Trauma)
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Physician Assistant
14 TECHNOLOGY DR, SUITE 11, 12, 15
EAST SETAUKET, NY 11733
Internal Medicine
14 TECHNOLOGY DR, SUITE 10
EAST SETAUKET, NY 11733
Physician Assistant
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Orthopaedic Surgery (Foot and Ankle Surgery)
14 TECHNOLOGY DR, SUITE 11
EAST SETAUKET, NY 11733
Orthopaedic Surgery (Sports Medicine)
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Orthopaedic Surgery
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733

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 John Mcdonnell's NPI number?

The NPI number for John Mcdonnell is 1669081865. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Where is John Mcdonnell located?

John Mcdonnell practices at 14 Technology Dr, Setauket, NY 11733. The listed phone number is (631) 444-4233.

What is John Mcdonnell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is John Mcdonnell enrolled in Medicare?

Yes. John Mcdonnell 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.

Is John Mcdonnell affiliated with any hospitals?

According to CMS data, John Mcdonnell is affiliated with Ns/Lij Hs Southside Hospital.

When was this NPI record last updated?

The NPPES record for John Mcdonnell was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.