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ERIC NILES MCDONALD M.D.
NPI 1730574187
Emergency Medicine in Lexington, KY

Active since April 02, 2015PECOS EnrolledAccepts Medicare Assignment
BLUEGRASS CARE NAVIGATORS, 1733 HARRODSBURG RD, LEXINGTON, KY 40504(859) 276-5344(859) 278-7690 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2025, Sep 12, 2017 (2 updates tracked since 2017).

About Eric Niles Mcdonald M.d. NPPES

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

ERIC NILES MCDONALD M.D. (NPI 1730574187) is an individual emergency medicine provider in Lexington, Kentucky, licensed in Mississippi (24756) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (2015).

NPPES Registry Identity

NPI1730574187
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameERIC NILES MCDONALDCredential: M.D.
Location AddressBLUEGRASS CARE NAVIGATORS, 1733 HARRODSBURG RDLexington, KY 40504-3617
Mailing AddressBluegrass Care Navigators, 1733 Harrodsburg RdLexington, KY 40514-3617 · (859) 276-5344 · Fax (859) 278-7690
Phone(859) 276-5344
Fax(859) 278-7690
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2015
Enumeration DateApril 2, 2015
Last NPPES UpdateFebruary 3, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2025
✔ NPI 1730574187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MS · 24756
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
BLUEGRASS CARE NAVIGATORS, Lexington, KY 40504
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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

Eric Niles 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 ID3375859614
PECOS Enrollment IDI20250210001183
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES

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

ELIZABETH TAYLOR GRIDER APRN
Nurse Practitioner (Family)
BLUEGRASS CARE NAVIGATORS, 1733 HARRODSBURG RD
LEXINGTON, KY 40504
Fayette County (859) 278-4869

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 Eric Mcdonald's NPI number?

The NPI number for Eric Mcdonald is 1730574187. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Eric Mcdonald located?

Eric Mcdonald practices at Bluegrass Care Navigators 1733 Harrodsburg Rd, Lexington, KY 40504. The listed phone number is (859) 276-5344.

What is Eric Mcdonald's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Eric Mcdonald enrolled in Medicare?

Yes. Eric 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.

When was this NPI record last updated?

The NPPES record for Eric Mcdonald was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.