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DR. JAMES H MCDONALD M.D.
NPI 1699733428
Internal Medicine in Kansas City, MO

Active since May 02, 2006Opted out of Medicare · through Sep 28, 2026
8350 N SAINT CLAIR AVE STE 220, KANSAS CITY, MO 64151(816) 203-1431(816) 503-6470 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 27, 2023, Sep 2, 2022, Aug 17, 2022 (3 updates tracked since 2022).

About Dr. James H Mcdonald M.d. NPPES

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

DR. JAMES H MCDONALD M.D. (NPI 1699733428) is an individual internal medicine provider in Kansas City, Missouri, licensed in Missouri (R8H70) and active in the NPI registry since May 2006. He has opted out of Medicare through September 28, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699733428
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES H MCDONALDCredential: M.D.
Location Address8350 N SAINT CLAIR AVE STE 220Kansas City, MO 64151-5102
Mailing Address8350 N Saint Clair Ave Ste 220Kansas City, MO 64151-5102 · (816) 203-1431 · Fax (816) 842-1974
Phone(816) 203-1431
Fax(816) 503-6470
Sole ProprietorYes
Enumeration DateMay 2, 2006
Last NPPES UpdateJanuary 27, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
✔ NPI 1699733428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · R8H70
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8350 N SAINT CLAIR AVE STE 220, Kansas City, MO 64151
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. James H Mcdonald M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 28, 2022 through September 28, 2026.

Opt-Out Effective DateSeptember 28, 2022
Opt-Out In Effect ThroughSeptember 28, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64151 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

Referred Medical Equipment & Supplies CMS DME claims 16

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
12 suppliers26 claims90 services$5.63 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers20 claims20 services$32.00 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers26 claims26 services$70.86 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers25 claims68 services$27.79 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers11 claims54 services$17.00 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers17 claims97 services$13.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 James Mcdonald's NPI number?

The NPI number for James Mcdonald is 1699733428. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is James Mcdonald located?

James Mcdonald practices at 8350 N Saint Clair Ave Ste 220, Kansas City, MO 64151. The listed phone number is (816) 203-1431.

What is James Mcdonald's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Mcdonald enrolled in Medicare?

No. James Mcdonald has opted out of Medicare through September 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for James Mcdonald was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.