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CAMERON TATE MCDONALD DO
NPI 1801539903
Family Medicine in Roseville, CA

Active since April 16, 2022PECOS EnrolledAccepts Medicare Assignment
4011 WOODCREEK OAKS BLVD STE 110120, ROSEVILLE, CA 95747(916) 865-1400 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 12, 2026, Apr 16, 2022 (2 updates tracked since 2022).

About Cameron Tate Mcdonald Do NPPES

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

CAMERON TATE MCDONALD DO (NPI 1801539903) is an individual family medicine provider in Roseville, California, licensed in California (20A24466) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sayre, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1801539903
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCAMERON TATE MCDONALDCredential: DO
Location Address4011 WOODCREEK OAKS BLVD STE 110120Roseville, CA 95747-6834
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Phone(916) 865-1400
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 16, 2022
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1801539903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A24466
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4011 WOODCREEK OAKS BLVD STE 110120, Roseville, CA 95747
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Secondary Practice Location 1

Location 11 Guthrie SqSayre, PA 18840-1625 · Phone (570) 888-6666

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

Cameron Tate Mcdonald Do 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 ID6901273432
PECOS Enrollment IDI20260106002721
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 Cameron Mcdonald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Medical Foundation
10 mi
Diagnostic Radiology
2800 L ST FL 7
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Sutter Valley Medical Foundation
  • 3,056 clinicians in this Medicare group
NPI 1942524095 (916) 731-7857

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 95747 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 Cameron Mcdonald's NPI number?

The NPI number for Cameron Mcdonald is 1801539903. It was assigned to this individual provider in the NPPES registry on April 16, 2022.

Where is Cameron Mcdonald located?

Cameron Mcdonald practices at 4011 Woodcreek Oaks Blvd Ste 110120, Roseville, CA 95747. The listed phone number is (916) 865-1400.

What is Cameron Mcdonald's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cameron Mcdonald enrolled in Medicare?

Yes. Cameron 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 organization bills Medicare for Cameron Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cameron Mcdonald reassigns Medicare benefits to Sutter Medical Foundation (Sacramento, 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 Cameron Mcdonald'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 Cameron Mcdonald was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.