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DR. CYNTHIA C MCDONALD DPM
NPI 1871573261
Podiatrist - Foot & Ankle Surgery in Gainesville, FL

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
77.19/100
CMS Quality Rating
4343 W NEWBERRY RD STE 1, GAINESVILLE, FL 32607(352) 331-3077(352) 331-3265 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Cynthia C Mcdonald Dpm NPPES

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

DR. CYNTHIA C MCDONALD DPM (NPI 1871573261) is an individual foot & ankle surgery provider in Gainesville, Florida, licensed in Florida (PO2406) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chiefland, and is a graduate of Barry University School Of Podiatric Medicine (1992).

NPPES Registry Identity

NPI1871573261
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. CYNTHIA C MCDONALDCredential: DPM
Location Address4343 W NEWBERRY RD STE 1Gainesville, FL 32607-2822
Mailing Address4343 Newberry Rd Ste 1Gainesville, FL 32607-2822 · (352) 331-3077 · Fax (352) 331-3265
Phone(352) 331-3077
Fax(352) 331-3265
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 1992
Enumeration DateJanuary 20, 2006
Last NPPES UpdateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
✔ NPI 1871573261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in FL · PO2406
4343 W NEWBERRY RD STE 1, Gainesville, FL 32607
Open in Google Maps ↗

Secondary Practice Location 1

Location 11315 NW 21st Ave Ste 2Chiefland, FL 32626 · Phone (352) 331-3077 · Fax (352) 331-3265

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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

Dr. Cynthia C Mcdonald Dpm 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 ID8921169319
PECOS Enrollment IDI20081203000860
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 Cynthia Mcdonald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Simedhealth LLC
Same address
Internal Medicine
4343 W NEWBERRY RD
Gainesville, FL 32607
  • Reassigned Medicare billing, Florida enrollment
  • 141 clinicians in this Medicare group
NPI 1639680127 (352) 416-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
91 services91 patients
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.
78 services48 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
67 services64 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
42 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
15 services13 patients

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.

77.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.57
Promoting Interoperability87
Improvement Activities40
Cost77.24

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%363 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing
89%123 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,088 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%238 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
65%788 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
92%363 patients4/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%558 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
94%788 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
59%788 patients4/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Cynthia Mcdonald's NPI number?

The NPI number for Cynthia Mcdonald is 1871573261. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Cynthia Mcdonald located?

Cynthia Mcdonald practices at 4343 W Newberry Rd Ste 1, Gainesville, FL 32607. The listed phone number is (352) 331-3077.

What is Cynthia Mcdonald's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Cynthia Mcdonald enrolled in Medicare?

Yes. Cynthia 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 Cynthia Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Mcdonald reassigns Medicare benefits to Simedhealth LLC (Gainesville, FL). 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 Cynthia Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Mcdonald accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Cynthia 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 Cynthia Mcdonald was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.