MATTHEW STEVEN MACDOUGALL MD, PHD
NPI 1740867001
Pediatrics in Palo Alto, CA

Active since March 24, 2021PECOS Enrolled
725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 19, 2024, Apr 6, 2021, Mar 24, 2021 (3 updates tracked since 2021).

About Matthew Steven Macdougall Md, Phd NPPES

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

MATTHEW STEVEN MACDOUGALL MD, PHD (NPI 1740867001) is an individual pediatrics provider in Palo Alto, California, licensed in California (A195055) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740867001
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMATTHEW STEVEN MACDOUGALLCredential: MD, PHD
Location Address725 WELCH RDPalo Alto, CA 94304-1601
Mailing Address269 Campus Drive, Ccsr Suite 3215, Division Of Allergy & ImmunologyPalo Alto, CA 94304-1601 · (650) 497-8000 · Fax (650) 497-8228
Sole ProprietorNo
Enumeration DateMarch 24, 2021
Last NPPES UpdateDecember 19, 20243 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1740867001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A195055
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License A195055 (CA)
725 WELCH RD, Palo Alto, CA 94304

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Steven Macdougall Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Matthew Macdougall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
231 GRANT AVENUE
Palo Alto, CA 94306
  • Reassigned Medicare billing, California enrollment
  • 2,460 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94304 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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 20

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

Occupational Therapist (Pediatrics)
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner (Neonatal)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics
725 WELCH RD
PALO ALTO, CA 94304
Anesthesiology (Pediatric Anesthesiology)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics (Pediatric Hematology-Oncology)
725 WELCH RD
PALO ALTO, CA 94304
Occupational Therapist
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner
725 WELCH RD
PALO ALTO, CA 94304
Hospitalist
725 WELCH RD
PALO ALTO, CA 94304

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 Matthew Macdougall's NPI number?

The NPI number for Matthew Macdougall is 1740867001. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Matthew Macdougall located?

Matthew Macdougall practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.

What is Matthew Macdougall's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Macdougall enrolled in Medicare?

Yes. Matthew Macdougall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Macdougall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Macdougall reassigns Medicare benefits to County Of Santa Clara (Palo Alto, CA). The 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 Matthew Macdougall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Macdougall was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.