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PHILIP J MCDONALD MD
NPI 1871698985
Pediatrics - Pediatric Gastroenterology in Madera, CA

Active since September 13, 2006PECOS Enrolled
9300 VALLEY CHILDRENS PL # SE09, MADERA, CA 93636(559) 353-8761 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philip J Mcdonald Md NPPES

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

PHILIP J MCDONALD MD (NPI 1871698985) is an individual pediatric gastroenterology provider in Madera, California, licensed in California (G43690) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1871698985
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NamePHILIP J MCDONALDCredential: MD
Location Address9300 VALLEY CHILDRENS PL # SE09Madera, CA 93636-8761
Mailing Address9300 Valley Childrens Pl # Sc05Madera, CA 93636-8761 · (559) 353-5745
Phone(559) 353-8761
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateMarch 1, 2022
NPPES CertifiedMarch 1, 2022
✔ NPI 1871698985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in CA · G43690
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
9300 VALLEY CHILDRENS PL # SE09, Madera, CA 93636
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Secondary Practice Location 1

Location 15301 F St, #308Sacramento, CA 95819-3226 · Phone (916) 733-1455 · Fax (916) 733-1466

Other Identifiers 1

Medicaid00G436900CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip J Mcdonald 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93636 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

Reported Quality Measures

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%32 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 3

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

JOHN-PAUL BERAUER MD
Pediatrics (Pediatric Gastroenterology)
9300 VALLEY CHILDRENS PL # SE09
MADERA, CA 93636
Madera County (559) 353-5745
DR. ALEXANDRA P EIDELWEIN M.D.
Pediatrics (Pediatric Gastroenterology)
9300 VALLEY CHILDRENS PL # SE09
MADERA, CA 93636
Madera County (559) 353-5745
DR. MAZEN ISSAM ABBAS D.O., M.P.H.
Pediatrics (Pediatric Gastroenterology)
9300 VALLEY CHILDRENS PL # SE09
MADERA, CA 93636
Madera County (559) 353-5745

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 Philip Mcdonald's NPI number?

The NPI number for Philip Mcdonald is 1871698985. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Philip Mcdonald located?

Philip Mcdonald practices at 9300 Valley Childrens Pl # Se09, Madera, CA 93636. The listed phone number is (559) 353-8761.

What is Philip Mcdonald's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Philip Mcdonald enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Philip Mcdonald was last updated on March 1, 2022. 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.