STEPHEN L MCDONOUGH MD
NPI 1912019480
Pediatrics in Bismarck, ND
NPI Status: Active since August 31, 2006
Contact Information
222 N 7TH ST
BISMARCK, ND
ZIP 58501
Phone: (701) 323-6000
Fax: (701) 323-5709
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About STEPHEN MCDONOUGH
This page provides the complete NPI Profile along with additional information for Stephen Mcdonough, a pediatrician established in Bismarck, North Dakota with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1912019480 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X with license number 4387 (ND). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1912019480
- Provider Name
- STEPHEN L MCDONOUGH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 222 N 7TH ST BISMARCK, ND 58501
- Location Phone
- (701) 323-6000
- Location Fax
- (701) 323-5709
- Mailing Address
- PO BOX 5501 BISMARCK, ND 58506
- Mailing Phone
- (701) 323-6000
- Mailing Fax
- (701) 323-5709
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-31-2006
- Last Update Date
- 09-11-2007
- Code Navigator
A pediatrician like Stephen Mcdonough is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4387
- License State
- ND
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D28649 | MEDICARE UPIN (02) | ND | |
| 19333 | MEDICARE PIN (08) | ND | |
| 11287 | MEDICAID (05) | ND |
Medicare Participation & PECOS Enrollment Status
Stephen Mcdonough is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 58501 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.71
- Minimum New Patient Price $55.75
- Maximum New Patient Price $168.12
- Average New Patient Copayment $21.42
- Minimum New Patient Copayment $13.93
- Maximum New Patient Copayment $42.03
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.29
- Minimum Established Patient Price $18.11
- Maximum Established Patient Price $137.65
- Average Established Patient Copayment $24.57
- Minimum Established Patient Copayment $4.52
- Maximum Established Patient Copayment $34.41
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for STEPHEN L MCDONOUGH MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 1 | 2 | 0 | 1 | 9 | 4 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 0 | 1 | 18 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 0 + 1 + 1 + 8 + 4 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1912019480 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. MICHAEL E LEBEAU MD
Internal Medicine
222 N 7TH ST
BISMARCK, ND
ZIP 58501
DR. SAMUEL AGUHOB MD
Anesthesiology
222 N 7TH ST
BISMARCK, ND
ZIP 58501
JAMES B BOSSORT MD
Family Medicine
222 N 7TH ST
BISMARCK, ND
ZIP 58501
BRENT P BRUDERER M.D.
Surgery
222 N 7TH ST
BISMARCK, ND
ZIP 58501
KIMBER M BOYKO M.D.
Surgery
222 N 7TH ST
BISMARCK, ND
ZIP 58501
WALTER E FRANK MD
Internal Medicine
(Cardiovascular Disease)
222 N 7TH ST
BISMARCK, ND
ZIP 58501
JAMIE L HAWK CRNA
Nurse Anesthetist, Certified Registered
222 N 7TH ST
BISMARCK, ND
ZIP 58501
OLIMPIA RAUTA MD
Family Medicine
222 N 7TH ST
BISMARCK, ND
ZIP 58501
DWIGHT J HERTZ MD
Pathology
(Clinical Pathology/Laboratory Medicine)
222 N 7TH ST
BISMARCK, ND
ZIP 58501
CRAIG A JOHNSON MD
Pathology
(Clinical Pathology/Laboratory Medicine)
222 N 7TH ST
BISMARCK, ND
ZIP 58501
IVALDO A LUNARDI MD
Internal Medicine
(Cardiovascular Disease)
222 N 7TH ST
BISMARCK, ND
ZIP 58501
GERRY M LUNN MD
Internal Medicine
222 N 7TH ST
BISMARCK, ND
ZIP 58501
NADIM KOLEILAT MD
Urology
222 N 7TH ST
BISMARCK, ND
ZIP 58501
PARAG KUMAR MD
Pediatrics
222 N 7TH ST
BISMARCK, ND
ZIP 58501
GEORGE KWITKA MD
Anesthesiology
222 N 7TH ST
BISMARCK, ND
ZIP 58501
TIMOTHY L PANSEGRAU MD
Internal Medicine
(Cardiovascular Disease)
222 N 7TH ST
BISMARCK, ND
ZIP 58501
MICHAEL J MCINTEE MD
Radiology
(Diagnostic Radiology)
222 N 7TH ST
BISMARCK, ND
ZIP 58501
KAREN R MACDONALD NP
Nurse Practitioner
222 N 7TH ST
BISMARCK, ND
ZIP 58501
RENEE R SMALL NP
Nurse Practitioner
222 N 7TH ST
BISMARCK, ND
ZIP 58501
DAWN M MEIER NP
Nurse Practitioner
222 N 7TH ST
BISMARCK, ND
ZIP 58501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912019480, enumerated as an "individual" on August 31, 2006.
The provider is located at 222 N 7TH ST BISMARCK, ND 58501 and the phone number is (701) 323-6000.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica,. Please consult your insurance carrier or call the provider to verify.
