DR. JOHN EDWARD MCDONALD JR. M.D.
NPI 1780896241
Orthopaedic Surgery - Sports Medicine in Austin, TX
About Dr. John Edward Mcdonald Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN EDWARD MCDONALD JR. M.D. (NPI 1780896241) is an individual sports medicine provider in Austin, Texas, licensed in Texas (M8174) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2005).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
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
Dr. John Edward Mcdonald Jr. 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 John Mcdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austin, TX 78759
- Reassigned Medicare billing, Texas enrollment
- 45 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 327 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.
Areas of Expertise CMS Part B claims 12
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.
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.
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 John Mcdonald's NPI number?
The NPI number for John Mcdonald is 1780896241. It was assigned to this individual provider in the NPPES registry on May 4, 2007.
Where is John Mcdonald located?
John Mcdonald practices at 4700 Seton Center Pkwy Suite 200, Austin, TX 78759. The listed phone number is (512) 439-1000.
What is John Mcdonald's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.
Is John Mcdonald enrolled in Medicare?
Yes. John 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 John Mcdonald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Mcdonald reassigns Medicare benefits to 2 organizations: Texas Orthopedics Sports & Rehabilitation Associates PA (Austin, TX) and Ortholonestar, PLLC (Houston, TX). 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 John Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Mcdonald accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list John 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.
When was this NPI record last updated?
The NPPES record for John Mcdonald was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.