PHILIP J MCDONALD MD
NPI 1871698985
Pediatrics - Pediatric Gastroenterology in Madera, CA
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Philip J Mcdonald Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Philip Mcdonald reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madera, CA 93636
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Valley Childrens Specialty Medical Group Inc
- 63 clinicians in this Medicare group
Modesto, CA 95350
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Valley Childrens Medical Group
- 387 clinicians in this Medicare group
Glendale, CA 91210
- Reassigned Medicare billing, California enrollment
- 15 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 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.
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
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.
MADERA, CA 93636
MADERA, CA 93636
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.
Which organizations bill Medicare for Philip Mcdonald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Mcdonald reassigns Medicare benefits to 3 organizations: Valley Children's Specialty Medical Group, Inc. (Madera, CA), Valley Children's Medical Group (Modesto, CA) and Vesta Telemedicine Solutions, PLLC (Glendale, CA). Each 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 Philip 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 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.
# Philip J Mcdonald, MD · NPI 1871698985
Pediatric Gastroenterology physician in Madera, California. Individual provider, active in the CMS NPPES registry since September 13, 2006.
## Identity
- **NPI:** 1871698985 (Entity type: Individual)
- **Enumerated:** September 13, 2006
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **State license:** G43690 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9300 VALLEY CHILDRENS PL # SE09, Madera, CA 93636-8761
- **Phone:** (559) 353-8761
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Valley Children's Specialty Medical Group, Inc. (NPI 1013968296, Madera, CA); Valley Children's Medical Group (NPI 1437555265, Modesto, CA); Vesta Telemedicine Solutions, PLLC (NPI 1952902116, Glendale, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2022
- **Other identifiers:** Medicaid 00G436900 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1871698985) · Data from the CMS NPPES public registry.