DR. CLARE MCDONALD DO
NPI 1821748195
Family Medicine in Mequon, WI

Active since March 28, 2022PECOS EnrolledAccepts Medicare Assignment
11430 N PORT WASHINGTON RD, MEQUON, WI 53092(262) 518-1900 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Jun 16, 2025 (2 updates tracked since 2025).

About Dr. Clare Mcdonald Do NPPES

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

DR. CLARE MCDONALD DO (NPI 1821748195) is an individual family medicine provider in Mequon, Wisconsin, licensed in Wisconsin (81905-21) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2022).

NPPES Registry Identity

NPI1821748195
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CLARE MCDONALDCredential: DO
Location Address11430 N PORT WASHINGTON RDMequon, WI 53092-3414
Mailing Address11430 N Port Washington RdMequon, WI 53092-3414 · (262) 518-1900
Sole ProprietorNo
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2022
Enumeration DateMarch 28, 2022
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
NPI 1821748195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 81905-21
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.
11430 N PORT WASHINGTON RD, Mequon, WI 53092

Accepted 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. Clare 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 ID749661312
PECOS Enrollment IDI20251002002459
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Physical Therapist
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Physical Therapist
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Family Medicine
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Nurse Practitioner
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Physical Therapist
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Physical Therapist
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Physical Therapist
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Pediatrics
11430 N PORT WASHINGTON RD
MEQUON, WI 53092

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 Clare Mcdonald's NPI number?

The NPI number for Clare Mcdonald is 1821748195. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Clare Mcdonald located?

Clare Mcdonald practices at 11430 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (262) 518-1900.

What is Clare Mcdonald's specialty?

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

Is Clare Mcdonald enrolled in Medicare?

Yes. Clare 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.

What insurance does Clare Mcdonald accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Clare 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 Clare Mcdonald was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.