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KELSEY MCDONALD
NPI 1720467905
Family Medicine in Scarborough, ME

Active since May 21, 2015Opted out of Medicare · through Apr 1, 2028
153 US ROUTE 1, SCARBOROUGH, ME 04074(207) 799-8596(207) 799-1730 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2020, May 28, 2019 (2 updates tracked since 2019).

About Kelsey Mcdonald NPPES

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

KELSEY MCDONALD (NPI 1720467905) is an individual family medicine provider in Scarborough, Maine, licensed in Maine (DO2772) and active in the NPI registry since May 2015. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720467905
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELSEY MCDONALD
Location Address153 US ROUTE 1Scarborough, ME 04074-9052
Mailing AddressPo Box 9746Portland, ME 04104-5040 · (207) 791-3888 · Fax (207) 828-7850
Phone(207) 799-8596
Fax(207) 799-1730
Sole ProprietorNo
Enumeration DateMay 21, 2015
Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2020
✔ NPI 1720467905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · DO2772
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.
153 US ROUTE 1, Scarborough, ME 04074
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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

Kelsey Mcdonald 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-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.

Areas of Expertise CMS Part B claims 2

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.
24 services19 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%876 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
55%220 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%319 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
69%731 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%731 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
44%731 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
58%731 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

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

MS. TRISTAN DANIELLE TOBIAS PA-C
Physician Assistant
153 US ROUTE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 799-8596
DEIRDRE G. HOGAN LCSW
Social Worker (Clinical)
153 US ROUTE 1, SUITE 26, BOX 10
SCARBOROUGH, ME 04074
Cumberland County (207) 329-9621
SARA M HOFFMAN PA-C
Physician Assistant
153 US ROUTE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 799-8596
KATHRYN MICHAUD
Nurse Practitioner
153 US ROUTE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 799-8596
SEAN TYLER O'SULLIVAN DO
Family Medicine
153 US ROUTE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 799-8596
ANGELEA NANNICELLI
Internal Medicine (Geriatric Medicine)
153 US ROUTE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 799-8596
SARA FREEDMAN MD
Family Medicine
153 US ROUTE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 799-8596
ERIK N STEELE DO
Family Medicine
153 US ROUTE 1
SCARBOROUGH, ME 04074
Cumberland County (207) 799-8596

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 Kelsey Mcdonald's NPI number?

The NPI number for Kelsey Mcdonald is 1720467905. It was assigned to this individual provider in the NPPES registry on May 21, 2015.

Where is Kelsey Mcdonald located?

Kelsey Mcdonald practices at 153 Us Route 1, Scarborough, ME 04074. The listed phone number is (207) 799-8596.

What is Kelsey Mcdonald's specialty?

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

Is Kelsey Mcdonald enrolled in Medicare?

No. Kelsey Mcdonald has opted out of Medicare through April 1, 2028. 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 Kelsey Mcdonald was last updated on September 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.