RYAN C. MCDONALD M.D.
NPI 1760428015
Obstetrics & Gynecology in Madison, WI
About Ryan C. Mcdonald M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN C. MCDONALD M.D. (NPI 1760428015) is an individual obstetrics & gynecology provider in Madison, Wisconsin, licensed in Wisconsin (52017) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ryan C. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Ryan Mcdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WI 53704
- Reassigned Medicare billing, Wisconsin enrollment
- 124 clinicians in this Medicare group
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unitypoint Health - Meriter
Acute Care Hospitals · Madison, WIUniversity Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIBellin Health Oconto Hospital
Critical Access Hospitals · Oconto, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ryan Mcdonald's NPI number?
The NPI number for Ryan Mcdonald is 1760428015. It was assigned to this individual provider in the NPPES registry on June 22, 2006.
Where is Ryan Mcdonald located?
Ryan Mcdonald practices at 4122 E Towne Blvd, Madison, WI 53704. The listed phone number is (608) 242-6840.
What is Ryan Mcdonald's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Ryan Mcdonald enrolled in Medicare?
Yes. Ryan 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 Ryan Mcdonald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Mcdonald reassigns Medicare benefits to 2 organizations: Access Community Health Centers, Inc. (Madison, WI) and University Of Wisconsin Medical Foundation, Inc (Middleton, WI). 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 Ryan Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Mcdonald accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Ryan 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 Ryan Mcdonald affiliated with any hospitals?
According to CMS data, Ryan Mcdonald is affiliated with Unitypoint Health - Meriter, University Of Wi Hospitals & Clinics Authority and Bellin Health Oconto Hospital.
When was this NPI record last updated?
The NPPES record for Ryan Mcdonald was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ryan C. Mcdonald, M.D. · NPI 1760428015
Obstetrics & Gynecology physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since June 22, 2006.
## Identity
- **NPI:** 1760428015 (Entity type: Individual)
- **Enumerated:** June 22, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 52017 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 4122 E TOWNE BLVD, Madison, WI 53704-3732
- **Phone:** (608) 242-6840
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Access Community Health Centers, Inc. (NPI 1417055617, Madison, WI); University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 2006
## Record status
- **NPPES last updated:** January 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1760428015) · Data from the CMS NPPES public registry.