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DR. TIMOTHY JOHN MCDONALD M.D.
NPI 1902059504
Otolaryngology in Holland, MI

Active since October 28, 2008PECOS EnrolledAccepts Medicare Assignment
577 MICHIGAN AVE STE 101, HOLLAND, MI 49423(616) 393-2190 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy John Mcdonald M.d. NPPES

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

DR. TIMOTHY JOHN MCDONALD M.D. (NPI 1902059504) is an individual otolaryngology provider in Holland, Michigan, licensed in Michigan (4301501925) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Holland Community Hospital, and maintains a secondary practice location in Wright Patterson Afb.

NPPES Registry Identity

NPI1902059504
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. TIMOTHY JOHN MCDONALDCredential: M.D.
Location Address577 MICHIGAN AVE STE 101Holland, MI 49423-4911
Mailing Address577 Michigan Ave Ste 101Holland, MI 49423-4911 · (616) 393-2190
Phone(616) 393-2190
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2008
Enumeration DateOctober 28, 2008
Last NPPES UpdateAugust 31, 2020
NPPES CertifiedAugust 31, 2020
✔ NPI 1902059504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MI · 4301501925
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
577 MICHIGAN AVE STE 101, Holland, MI 49423
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Secondary Practice Location 1

Location 14881 Sugar Maple Dr, 88MDG/SGNEWright Patterson AFB, OH 45433-5546 · Phone (850) 496-6840

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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. Timothy John Mcdonald M.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 ID3375895543
PECOS Enrollment IDI20200901002497
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 9

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 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.
44 services37 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.
36 services31 patients
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.
25 services25 patients
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.
20 services14 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
19 services15 patients
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.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holland Community Hospital

Acute Care Hospitals · Holland, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230072
Location602 Michigan AveHolland, MI 49423 · Ottawa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49423 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.

Other Providers at the Same Location NPPES 6

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

HOLLAND COMMUNITY HOSPITAL
Hearing Aid Equipment
577 MICHIGAN AVE STE 101
HOLLAND, MI 49423
Allegan County (616) 393-2190
JAMIE WADAGA AUD
Audiologist
577 MICHIGAN AVE STE 101
HOLLAND, MI 49423
Allegan County (616) 393-2190
DR. LINDSAY KAY ROBERTS AU.D.
Audiologist-Hearing Aid Fitter
577 MICHIGAN AVE STE 101
HOLLAND, MI 49423
Allegan County (616) 393-2190
JILLIAN MULDER FNP
Nurse Practitioner (Family)
577 MICHIGAN AVE STE 101
HOLLAND, MI 49423
Allegan County (616) 393-2190
ALLISON HUDSON AUD
Audiologist
577 MICHIGAN AVE STE 101
HOLLAND, MI 49423
Allegan County (616) 393-2190
HOLLAND COMMUNITY HOSPITAL
Otolaryngology
577 MICHIGAN AVE STE 101
HOLLAND, MI 49423
Allegan County (616) 393-2190

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 Timothy Mcdonald's NPI number?

The NPI number for Timothy Mcdonald is 1902059504. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Where is Timothy Mcdonald located?

Timothy Mcdonald practices at 577 Michigan Ave Ste 101, Holland, MI 49423. The listed phone number is (616) 393-2190.

What is Timothy Mcdonald's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Timothy Mcdonald enrolled in Medicare?

Yes. Timothy 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 Timothy Mcdonald accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Timothy 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.

Is Timothy Mcdonald affiliated with any hospitals?

According to CMS data, Timothy Mcdonald is affiliated with Holland Community Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Mcdonald was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.