DR. ROBERT EARL MCDONALD JR. MD
NPI 1669452793
Family Medicine in Spartanburg, SC

Active since January 17, 2006PECOS Enrolled
96.08/100
CMS Quality Rating
853 N CHURCH ST, SUITE 510, SPARTANBURG, SC 29303(864) 560-1550 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2020, Feb 28, 2018 (2 updates tracked since 2018).

About Dr. Robert Earl Mcdonald Jr. Md NPPES

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

DR. ROBERT EARL MCDONALD JR. MD (NPI 1669452793) is an individual family medicine provider in Spartanburg, South Carolina, licensed in South Carolina (12602) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669452793
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBERT EARL MCDONALD JR.Credential: MD
Location Address853 N CHURCH ST, SUITE 510Spartanburg, SC 29303-3098
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Sole ProprietorNo
Enumeration DateJanuary 17, 2006
Last NPPES UpdateFebruary 5, 20202 updates tracked since enumeration
NPI 1669452793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in SC · 12602 Licensed in TN · 17953
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
853 N CHURCH ST, Spartanburg, SC 29303

Other Identifiers 2

OtherSC62355019SC · Medicare Pin
Medicaid126027SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Robert Earl Mcdonald Jr. Md 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.

Areas of Expertise CMS Part B claims 11

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 needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
189 services86 patients
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.
189 services82 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
114 services78 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.
70 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
57 services57 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
48 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers11 claims26 services$6.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
853 N CHURCH ST, SUITE 620
SPARTANBURG, SC 29303
Family Medicine
853 N CHURCH ST
SPARTANBURG, SC 29303
Internal Medicine (Gastroenterology)
853 N CHURCH ST, SUITE 620
SPARTANBURG, SC 29303
Family Medicine
853 N CHURCH ST, SUITE 510
SPARTANBURG, SC 29303
Pediatrics
853 N CHURCH ST, SUITE 401
SPARTANBURG, SC 29303
Surgery (Surgical Critical Care)
853 N CHURCH ST, STE 500
SPARTANBURG, SC 29303
Obstetrics & Gynecology
853 N CHURCH ST, SUITE 600
SPARTANBURG, SC 29303
Specialist
853 N CHURCH ST, SUITE 700
SPARTANBURG, SC 29303

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 Robert Mcdonald's NPI number?

The NPI number for Robert Mcdonald is 1669452793. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Robert Mcdonald located?

Robert Mcdonald practices at 853 N Church St Suite 510, Spartanburg, SC 29303. The listed phone number is (864) 560-1550.

What is Robert Mcdonald's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Mcdonald enrolled in Medicare?

Yes. Robert Mcdonald is registered in the Medicare PECOS enrollment system.

What insurance does Robert Mcdonald accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and UnitedHealthcare list Robert 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.

When was this NPI record last updated?

The NPPES record for Robert Mcdonald was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.