ROBERT CLAYTON MCDONOUGH III MD
NPI 1720074503
Urology in Saint Louis, MO

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1225 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-4440(314) 977-1642 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2021, Jan 14, 2021 (2 updates tracked since 2021).

About Robert Clayton Mcdonough Iii Md NPPES

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

ROBERT CLAYTON MCDONOUGH III MD (NPI 1720074503) is an individual urology provider in Saint Louis, Missouri, licensed in Missouri (1720074503) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1720074503
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameROBERT CLAYTON MCDONOUGH IIICredential: MD
Location Address1225 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address1008 S. Spring Ave, Slucare Academic PavilionSt. Louis, MO 63110 · (314) 977-3470 · Fax (314) 977-1642
Fax(314) 977-1642
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1997
Enumeration DateSeptember 27, 2005
Last NPPES UpdateFebruary 2, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
NPI 1720074503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in MO · 1720074503 Licensed in ME · MD19054
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1225 S GRAND BLVD, Saint Louis, MO 63104

Secondary Practice Location 1

Location 16400 Clayton Rd Ste 201Saint Louis, MO 63117-1850 · Phone (314) 977-4440 · Fax (314) 977-1642

Other Identifiers 1

Other19979IA · Iowa Wellmark Bcbs Number

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

Robert Clayton Mcdonough Iii Md 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 ID2264436914
PECOS Enrollment IDI20240722000758
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 21

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.

Injection, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
13,090 services21 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.
373 services337 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.
165 services165 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
122 services115 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
78 services74 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
75 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

University Of MD Shore Medical Ctr At Chestertown

Acute Care Hospitals · Chestertown, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210030
Location100 Brown StreetChestertown, MD 21620 · Kent County
Emergency services

University Of MD Shore Medical Center At Easton

Acute Care Hospitals · Easton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210037
Location219 South Washington StreetEaston, MD 21601 · Talbot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers31 claims4,455 services$1.69 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers17 claims2,100 services$5.90 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.

Surgery (Vascular Surgery)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Optometrist
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Internal Medicine
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychiatry & Neurology (Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychiatry & Neurology (Vascular Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Internal Medicine (Rheumatology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Otolaryngology
1225 S GRAND BLVD, GARDEN LEVEL, DOOR 3
ST LOUIS, MO 63104

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 Mcdonough's NPI number?

The NPI number for Robert Mcdonough is 1720074503. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Robert Mcdonough located?

Robert Mcdonough practices at 1225 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 977-4440.

What is Robert Mcdonough's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Robert Mcdonough enrolled in Medicare?

Yes. Robert Mcdonough 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 Robert Mcdonough affiliated with any hospitals?

According to CMS data, Robert Mcdonough is affiliated with Tidalhealth Peninsula Regional, Inc, Luminis Health Anne Arundel Medical Center, Inc, University Of MD Shore Medical Ctr At Chestertown and University Of MD Shore Medical Center At Easton.

When was this NPI record last updated?

The NPPES record for Robert Mcdonough was last updated on February 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.