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LAURIE PENHALL MACDONALD MD
NPI 1801862354
Pediatrics in Oak Ridge, NC

Active since February 24, 2006PECOS Enrolled
2205 OAK RIDGE RD STE BB, OAK RIDGE, NC 27310(336) 644-0994(336) 644-0997 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Dec 23, 2021, Oct 25, 2020 (3 updates tracked since 2020).

About Laurie Penhall Macdonald Md NPPES

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

LAURIE PENHALL MACDONALD MD (NPI 1801862354) is an individual pediatrics provider in Oak Ridge, North Carolina, licensed in North Carolina (200100163) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801862354
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLAURIE PENHALL MACDONALDCredential: MD
Location Address2205 OAK RIDGE RD STE BBOak Ridge, NC 27310-8645
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 644-0994
Fax(336) 644-0997
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 23, 2021
✔ NPI 1801862354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 200100163
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.
2205 OAK RIDGE RD STE BB, Oak Ridge, NC 27310
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Other Identifiers 1

Medicaid89134WYNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurie Penhall Macdonald Md 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 Laurie Macdonald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group, LLC
2.5 mi
Family Medicine
7607 NC HIGHWAY 68 N STE B
Oak Ridge, NC 27310
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1497224703 (336) 643-3378

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 27310 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 2

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

NOVANT HEALTH MEDICAL GROUP, LLC
Pediatrics
2205 OAK RIDGE RD STE BB
OAK RIDGE, NC 27310
Guilford County (336) 644-0994
DR. STEPHEN CAMERON KEARNS M.D.
Pediatrics
2205 OAK RIDGE RD STE BB
OAK RIDGE, NC 27310
Guilford County (336) 644-0994

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 Laurie Macdonald's NPI number?

The NPI number for Laurie Macdonald is 1801862354. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Laurie Macdonald located?

Laurie Macdonald practices at 2205 Oak Ridge Rd Ste Bb, Oak Ridge, NC 27310. The listed phone number is (336) 644-0994.

What is Laurie Macdonald's specialty?

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

Is Laurie Macdonald enrolled in Medicare?

Yes. Laurie Macdonald is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Laurie Macdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laurie Macdonald reassigns Medicare benefits to Novant Health Medical Group, LLC (Oak Ridge, NC). 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 Laurie Macdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laurie Macdonald accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Laurie Macdonald 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 Laurie Macdonald was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.