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DR. RICHARD LEE MCDONALD O.D.
NPI 1891783163
Optometrist in Cadillac, MI

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
120 PALUSTER ST, CADILLAC, MI 49601(231) 775-7341(231) 775-3925 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Lee Mcdonald O.d. NPPES

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

DR. RICHARD LEE MCDONALD O.D. (NPI 1891783163) is an individual optometrist in Cadillac, Michigan, licensed in Michigan (4901004018) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1999).

NPPES Registry Identity

NPI1891783163
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RICHARD LEE MCDONALDCredential: O.D.
Location Address120 PALUSTER STCadillac, MI 49601-2532
Mailing Address120 Paluster StCadillac, MI 49601-2532 · (231) 775-7341 · Fax (231) 775-3925
Phone(231) 775-7341
Fax(231) 775-3925
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 1999
Enumeration DateOctober 11, 2005
Last NPPES UpdateFebruary 21, 2013
✔ NPI 1891783163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901004018
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
120 PALUSTER ST, Cadillac, MI 49601
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Other Identifiers 2

Medicare ID-Type UnspecifiedOH67321MI
Medicare UPINU77506MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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. Richard Lee Mcdonald O.d. 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 ID2860584877
PECOS Enrollment IDI20110805000737
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
103 services102 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
56 services54 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.
55 services44 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
23 services23 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.
18 services18 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49601 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%51 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 5

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

JULIE RAE BROOKS
Optometrist
120 PALUSTER ST
CADILLAC, MI 49601
Wexford County (231) 775-7341
DR. RANDALL EDWARD MYERS O.D.
Optometrist
120 PALUSTER ST
CADILLAC, MI 49601
Wexford County (231) 775-7341
DR. RODNEY WAYNE BELLOWS O.D.
Optometrist
120 PALUSTER ST
CADILLAC, MI 49601
Wexford County (231) 775-7341
ADVANCED OPTOMETRY, P.L.L.C.
Optometrist
120 PALUSTER ST
CADILLAC, MI 49601
Wexford County (231) 775-7341
DR. AMANDA LYN JOHNSTON O.D.
Optometrist
120 PALUSTER ST
CADILLAC, MI 49601
Wexford County (231) 775-7341

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 Richard Mcdonald's NPI number?

The NPI number for Richard Mcdonald is 1891783163. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Richard Mcdonald located?

Richard Mcdonald practices at 120 Paluster St, Cadillac, MI 49601. The listed phone number is (231) 775-7341.

What is Richard Mcdonald's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Richard Mcdonald enrolled in Medicare?

Yes. Richard 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 Richard Mcdonald accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Priority Health and Providence Health Plan list Richard 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 Richard Mcdonald was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.