DR. STEPHEN D MCDONALD MD
NPI 1790776011
Internal Medicine - Endocrinology, Diabetes & Metabolism in Miamisburg, OH

Q: What is Stephen Mcdonald's NPI number?

The NPI number for Stephen Mcdonald is 1790776011. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Q: What is Stephen Mcdonald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Mcdonald was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment

84.5/100

CMS Quality Rating

2115 LEITER RD, MIAMISBURG, OH 45342(937) 384-6800(937) 384-6939 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 13, 2021, Apr 27, 2018 (2 updates tracked since 2018).

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About Dr. Stephen D Mcdonald Md NPPES

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

DR. STEPHEN D MCDONALD MD (NPI 1790776011) is an individual endocrinology, diabetes & metabolism provider in Miamisburg, Ohio, licensed in Ohio (35059479) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1973).

NPPES Registry Identity

NPI1790776011

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. STEPHEN D MCDONALDCredential: MD

Location Address2115 LEITER RDMiamisburg, OH 45342-3659

Mailing Address2115 Leiter RdMiamisburg, OH 45342-3659 · (937) 384-6800 · Fax (937) 384-6939

Phone(937) 384-6800

Fax(937) 384-6939

Sole ProprietorYes

Medical School CMSLoma Linda University School Of MedicineGraduated 1973

Enumeration DateNovember 4, 2005

Last NPPES UpdateApril 15, 20252 updates tracked since enumeration

NPPES CertifiedApril 15, 2025

✔ NPI 1790776011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in OH · 35059479

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35059479 (OH)

2115 LEITER RD, Miamisburg, OH 45342

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Other Identifiers 1

Medicaid0783095OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

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

Dr. Stephen D Mcdonald Md 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 ID1153457726

PECOS Enrollment IDI20100407000698

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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45342 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

84.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.16

Promoting Interoperability

100

Improvement Activities

Cost

67.18

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.

JESSICA ROSARIA CARUSO DO

Student in an Organized Health Care Education/Training Program