DR. KEVIN ANDREW MACDONALD MD
NPI 1962939280
Family Medicine in New Bern, NC

Active since May 17, 2017PECOS EnrolledAccepts Medicare Assignment
670 CARDINAL RD, NEW BERN, NC 28562(252) 636-6222(252) 636-5385 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2022, Jun 16, 2020, May 17, 2017 (3 updates tracked since 2017).

About Dr. Kevin Andrew Macdonald Md NPPES

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

DR. KEVIN ANDREW MACDONALD MD (NPI 1962939280) is an individual family medicine provider in New Bern, North Carolina, licensed in North Carolina (2020-00378) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1962939280
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEVIN ANDREW MACDONALDCredential: MD
Location Address670 CARDINAL RDNew Bern, NC 28562-5201
Mailing AddressPo Box 12248New Bern, NC 28561-2248 · (252) 636-6222 · Fax (252) 636-5385
Fax(252) 636-5385
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 17, 2017
Last NPPES UpdateAugust 31, 20223 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
NPI 1962939280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2020-00378
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
670 CARDINAL RD, New Bern, NC 28562

Accepted 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. Kevin Andrew Macdonald Md 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 ID9739453754
PECOS Enrollment IDI20200717000298
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 53

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,640 services26 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.
938 services445 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
742 services433 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
575 services397 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
549 services391 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
464 services379 patients

Hospital Affiliations CMS Care Compare

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

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340131
Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers17 claims41 services$6.50 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers20 claims20 services$41.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Family Medicine
670 CARDINAL RD
NEW BERN, NC 28562
Nurse Practitioner (Family)
670 CARDINAL RD
NEW BERN, NC 28562
Nurse Practitioner (Gerontology)
670 CARDINAL RD
NEW BERN, NC 28562
Nurse Practitioner (Family)
670 CARDINAL RD
NEW BERN, NC 28562
Family Medicine
670 CARDINAL RD
NEW BERN, NC 28562
Nurse Practitioner (Family)
670 CARDINAL RD
NEW BERN, NC 28562
Internal Medicine
670 CARDINAL RD
NEW BERN, NC 28562
Nurse Practitioner (Family)
670 CARDINAL RD
NEW BERN, NC 28562

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 Kevin Macdonald's NPI number?

The NPI number for Kevin Macdonald is 1962939280. It was assigned to this individual provider in the NPPES registry on May 17, 2017.

Where is Kevin Macdonald located?

Kevin Macdonald practices at 670 Cardinal Rd, New Bern, NC 28562. The listed phone number is (252) 636-6222.

What is Kevin Macdonald's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Macdonald enrolled in Medicare?

Yes. Kevin Macdonald 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 Kevin Macdonald accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross and Blue Shield of NC and UnitedHealthcare list Kevin Macdonald 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 Kevin Macdonald affiliated with any hospitals?

According to CMS data, Kevin Macdonald is affiliated with Carolina East Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Macdonald was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.