JAMES F MCDONALD JR. D.O.
NPI 1811953714
Internal Medicine - Cardiovascular Disease in Philadelphia, PA

Active since April 21, 2006PECOS Enrolled
85.27/100
CMS Quality Rating
3509 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-8484(215) 707-3946 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James F Mcdonald Jr. D.o. NPPES

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

JAMES F MCDONALD JR. D.O. (NPI 1811953714) is an individual cardiovascular disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS004000L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811953714
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJAMES F MCDONALD JR.Credential: D.O.
Location Address3509 N BROAD STPhiladelphia, PA 19140-4105
Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 707-8484 · Fax (215) 707-3946
Fax(215) 707-3946
Sole ProprietorNo
Enumeration DateApril 21, 2006
Last NPPES UpdateMarch 4, 2016
✔ NPI 1811953714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in PA · OS004000L
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3509 N BROAD ST, Philadelphia, PA 19140

Other Identifiers 8

OtherP00691520PA · Rr Medicare
Other128726FSEPA · Medicare Group
Medicare PIN402446PA
Medicare UPINC33429
Medicare PIN128726FSEPA
OtherP00753268PA · Railroad Medicare
Other597586JTQPA · Medicare Group
Medicaid000740274PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James F Mcdonald Jr. D.o. 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 James Mcdonald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
3401 N BROAD ST, 5TH FLOOR OUTPATIENT BUILDING
Phila, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 447 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

85.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.55
Promoting Interoperability100
Improvement Activities40
Cost75.29

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
3509 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3509 N BROAD ST, SUITE 226
PHILADELPHIA, PA 19140
Internal Medicine (Cardiovascular Disease)
3509 N BROAD ST
PHILADELPHIA, PA 19140
Psychiatry & Neurology (Neurology)
3509 N BROAD ST, FL 6 EAST TUCMC
PHILADELPHIA, PA 19140
Physician Assistant
3509 N BROAD ST
PHILADELPHIA, PA 19140
Ophthalmology
3509 N BROAD ST
PHILADELPHIA, PA 19140
Psychiatry & Neurology (Neurology)
3509 N BROAD ST
PHILADELPHIA, PA 19140
Otolaryngology
3509 N BROAD ST
PHILADELPHIA, PA 19140

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 James Mcdonald's NPI number?

The NPI number for James Mcdonald is 1811953714. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is James Mcdonald located?

James Mcdonald practices at 3509 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-8484.

What is James Mcdonald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James Mcdonald enrolled in Medicare?

Yes. James Mcdonald is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mcdonald reassigns Medicare benefits to Temple Physicians Inc (Phila, PA). 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 James 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 James Mcdonald was last updated on March 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.