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DARREN R. MCDONALD M.D.
NPI 1700863982
Otolaryngology in Minneapolis, MN

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
2211 PARK AVENUE S, MINNEAPOLIS, MN 55404(612) 871-1144(612) 871-2012 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Darren R. Mcdonald M.d. NPPES

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

DARREN R. MCDONALD M.D. (NPI 1700863982) is an individual otolaryngology provider in Minneapolis, Minnesota, licensed in Minnesota (46792) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of University Of Vermont College Of Medicine (2003).

NPPES Registry Identity

NPI1700863982
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDARREN R. MCDONALDCredential: M.D.
Location Address2211 PARK AVENUE SMinneapolis, MN 55404
Mailing Address2211 Park Avenue SMinneapolis, MN 55404-3753 · (612) 871-1144 · Fax (612) 871-2012
Phone(612) 871-1144
Fax(612) 871-2012
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2003
Enumeration DateDecember 28, 2005
Last NPPES UpdateJuly 23, 2013
✔ NPI 1700863982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MN · 46792
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2211 PARK AVENUE S, Minneapolis, MN 55404
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN40000730
Medicare ID-Type Unspecified040000730MN
Medicare UPINI14819
Medicaid702687100MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Darren R. Mcdonald M.d. 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 ID6800863796
PECOS Enrollment IDI20040910000945
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

2

Medicare enrollment records show Darren Mcdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allina Health System
0.4 mi
Obstetrics & Gynecology
902 E 26TH ST STE 1700
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1669871455 (Minnesota)
  • 3,733 clinicians in this Medicare group
NPI 1518909563 (612) 863-4502
Ear Nose & Throat Specialty Care Of Minnesota PA
4.6 mi
Otolaryngology
6099 WAYZATA BLVD STE 200
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 51 clinicians in this Medicare group
NPI 1336175744 (612) 871-1144

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 10

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 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.
176 services120 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
107 services86 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
90 services90 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
81 services75 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.
60 services60 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
59 services41 patients

Hospital Affiliations CMS Care Compare 4

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

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Buffalo Hospital

Acute Care Hospitals · Buffalo, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240076
Location303 Catlin StreetBuffalo, MN 55313 · Wright County
Birthing friendly

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55404 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 $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES

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

DR. THOMAS ELIOT CHRISTENSON M.D.
Otolaryngology
2211 PARK AVENUE S
MINNEAPOLIS, MN 55404
Hennepin County (612) 871-1144

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 Darren Mcdonald's NPI number?

The NPI number for Darren Mcdonald is 1700863982. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Darren Mcdonald located?

Darren Mcdonald practices at 2211 Park Avenue S, Minneapolis, MN 55404. The listed phone number is (612) 871-1144.

What is Darren Mcdonald's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Darren Mcdonald enrolled in Medicare?

Yes. Darren 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.

Which organizations bill Medicare for Darren Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darren Mcdonald reassigns Medicare benefits to 2 organizations: Allina Health System (Minneapolis, MN) and Ear Nose & Throat Specialty Care Of Minnesota PA (St Louis Park, MN). 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 Darren Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Darren Mcdonald accept?

Health plans from HealthPartners list Darren 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 Darren Mcdonald affiliated with any hospitals?

According to CMS data, Darren Mcdonald is affiliated with North Memorial Health Hospital, Abbott Northwestern Hospital, Buffalo Hospital and M Health Fairview Southdale Hospital.

When was this NPI record last updated?

The NPPES record for Darren Mcdonald was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.