DR. DOUGLAS W MCDONALD D.O.
NPI 1922386184
Emergency Medicine in Joplin, MO

Active since July 21, 2011PECOS EnrolledAccepts Medicare Assignment
64.74/100
CMS Quality Rating
1102 W 32ND ST, JOPLIN, MO 64804(417) 347-4616(417) 347-9022 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas W Mcdonald D.o. NPPES

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

DR. DOUGLAS W MCDONALD D.O. (NPI 1922386184) is an individual emergency medicine provider in Joplin, Missouri, licensed in Missouri (2013013922) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Freeman Health System - Freeman West, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1922386184
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DOUGLAS W MCDONALDCredential: D.O.
Location Address1102 W 32ND STJoplin, MO 64804-3503
Mailing Address1102 W 32nd StJoplin, MO 64804-3503 · (417) 347-4616 · Fax (417) 347-9022
Fax(417) 347-9022
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2011
Enumeration DateJuly 21, 2011
Last NPPES UpdateApril 23, 2021
NPPES CertifiedApril 23, 2021
NPI 1922386184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in MO · 2013013922 Licensed in MO · 2011017323
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1102 W 32ND ST, Joplin, MO 64804

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. Douglas W Mcdonald D.o. 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 ID4284865551
PECOS Enrollment IDI20140416001660
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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
170 services159 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
134 services132 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
60 services59 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Freeman Neosho Hospital

Critical Access Hospitals · Neosho, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261331
Location113 West Hickory StreetNeosho, MO 64850 · Newton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

64.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.55
Improvement Activities40
Cost58.46

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Gastroenterology)
1102 W 32ND ST
JOPLIN, MO 64804
Internal Medicine (Critical Care Medicine)
1102 W 32ND ST
JOPLIN, MO 64804
Nurse Anesthetist, Certified Registered
1102 W 32ND ST
JOPLIN, MO 64804
Registered Nurse (Medical-Surgical)
1102 W 32ND ST
JOPLIN, MO 64804
Student in an Organized Health Care Education/Training Program
1102 W 32ND ST
JOPLIN, MO 64804
Radiology (Diagnostic Radiology)
1102 W 32ND ST
JOPLIN, MO 64804
Hospitalist
1102 W 32ND ST
JOPLIN, MO 64804
Speech-Language Pathologist
1102 W 32ND ST
JOPLIN, MO 64804

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 Douglas Mcdonald's NPI number?

The NPI number for Douglas Mcdonald is 1922386184. It was assigned to this individual provider in the NPPES registry on July 21, 2011.

Where is Douglas Mcdonald located?

Douglas Mcdonald practices at 1102 W 32nd St, Joplin, MO 64804. The listed phone number is (417) 347-4616.

What is Douglas Mcdonald's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Douglas Mcdonald enrolled in Medicare?

Yes. Douglas 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.

Is Douglas Mcdonald affiliated with any hospitals?

According to CMS data, Douglas Mcdonald is affiliated with Freeman Health System - Freeman West and Freeman Neosho Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Mcdonald was last updated on April 23, 2021. 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.