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MR. TODD AARON MACDONALD CRNA
NPI 1689108839
Nurse Anesthetist, Certified Registered in Joplin, MO

Active since April 14, 2017PECOS EnrolledAccepts Medicare Assignment
64.74/100
CMS Quality Rating
2119 HIGHLANDER DR, JOPLIN, MO 64804(417) 988-5969 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Todd Aaron Macdonald Crna NPPES

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

MR. TODD AARON MACDONALD CRNA (NPI 1689108839) is an individual nurse anesthetist, certified registered in Joplin, Missouri, licensed in Illinois (209029242) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Carbondale, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1689108839
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. TODD AARON MACDONALDCredential: CRNA
Location Address2119 HIGHLANDER DRJoplin, MO 64804-7005
Mailing Address2119 Highlander DrJoplin, MO 64804-7005 · (417) 988-5969
Phone(417) 988-5969
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 14, 2017
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1689108839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in IL · 209029242✔ Licensed in MO · 2017009929
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2119 HIGHLANDER DR, Joplin, MO 64804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Mr. Todd Aaron Macdonald Crna 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 ID3072884352
PECOS Enrollment IDI20170804000495, I20240319000922
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 Reassignments

6

Medicare enrollment records show Todd Macdonald reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Clinic Springfield Communities
42 mi
Rural Health
92 MAIN ST
Cassville, MO 65625
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1245277631 (Missouri)
  • 1,487 clinicians in this Medicare group
NPI 1497887848 (417) 847-5225
Ozark Anesthesia Associates, Inc.
68 mi
Anesthesiology
1000 E PRIMROSE ST STE 520
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 105 clinicians in this Medicare group
NPI 1831109586 (417) 269-4550
Northstar Anesthesia Of Missouri, LLC
317 mi
Anesthesiology
6225 N STATE HIGHWAY 161, SUITE 200
Irving, TX 75038
  • Reassigned Medicare billing, Missouri enrollment
  • 189 clinicians in this Medicare group
NPI 1396191789 (214) 687-0001
Northstar Anesthesia Of Illinois, LLC
328 mi
Anesthesiology
2000 E LAMAR BLVD STE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Illinois enrollment
  • 735 clinicians in this Medicare group
NPI 1962822395 (817) 583-7421
American Anesthesiology Associates Of Illinois, S.C.
473 mi
Anesthesiology
19627 S LA GRANGE RD
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 208 clinicians in this Medicare group
NPI 1962512335 (800) 243-3839
North American Partners In Anesthesia (illinois), LLC
491 mi
Anesthesiology
3 ERIE CT
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1699032524 (315) 413-5229

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 3

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
40 services40 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
23 services22 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

64.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.55
Improvement Activities40
Cost58.46

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 Todd Macdonald's NPI number?

The NPI number for Todd Macdonald is 1689108839. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Todd Macdonald located?

Todd Macdonald practices at 2119 Highlander Dr, Joplin, MO 64804. The listed phone number is (417) 988-5969.

What is Todd Macdonald's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Todd Macdonald enrolled in Medicare?

Yes. Todd Macdonald 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 organizations bill Medicare for Todd Macdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Macdonald reassigns Medicare benefits to 6 organizations: Mercy Clinic Springfield Communities (Cassville, MO), Ozark Anesthesia Associates, Inc. (Springfield, MO), Northstar Anesthesia Of Missouri, LLC (Irving, TX), Northstar Anesthesia Of Illinois, LLC (Arlington, TX), American Anesthesiology Associates Of Illinois, S.C. (Mokena, IL) and 1 more organization, listed in the Medicare section above. Each 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 Todd Macdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Macdonald accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Todd Macdonald 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 Todd Macdonald affiliated with any hospitals?

According to CMS data, Todd Macdonald is affiliated with Memorial Hospital Of Carbondale and Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Todd Macdonald was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.