DONALD A MACDONALD JR. MD
NPI 1982696985
Ophthalmology in Tinton Falls, NJ

Q: What is Donald Macdonald's NPI number?

The NPI number for Donald Macdonald is 1982696985. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Q: What is Donald Macdonald's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Macdonald was last updated on January 14, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment

76.1/100

CMS Quality Rating

21 N GILBERT ST, SUITE 200, TINTON FALLS, NJ 07701(732) 741-1902(732) 741-1919 Get Directions Write a Review

NPPES record last updated: January 14, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Donald A Macdonald Jr. Md NPPES

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

DONALD A MACDONALD JR. MD (NPI 1982696985) is an individual ophthalmology provider in Tinton Falls, New Jersey, licensed in New Jersey (MA04441400) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (1980).

NPPES Registry Identity

NPI1982696985

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDONALD A MACDONALD JR.Credential: MD

Location Address21 N GILBERT ST, SUITE 200Tinton Falls, NJ 07701-4913

Mailing Address21n Gilbert St, Suite 200Tinton Falls, NJ 07701-4913 · (732) 741-1902 · Fax (732) 741-1919

Phone(732) 741-1902

Fax(732) 741-1919

Sole ProprietorYes

Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1980

Enumeration DateAugust 17, 2005

Last NPPES UpdateJanuary 14, 2009

✔ NPI 1982696985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NJ · MA04441400

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

21 N GILBERT ST, Tinton Falls, NJ 07701

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Other Identifiers 5

OtherP00380298NJ · Railraod Medicare

Medicare NSC0176820001NJ

Medicare UPINA60214

Medicare ID-Type Unspecified439197NJ

Medicaid018320201NJ

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

Donald A Macdonald Jr. 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 ID8426050519

PECOS Enrollment IDI20070201000593

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 18

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 problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

918 services521 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

792 services785 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

356 services161 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

194 services194 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

189 services174 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

181 services179 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

141 services99 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.

139 services131 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.

95 services70 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

73 services60 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.

48 services48 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

32 services32 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

28 services23 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

23 services17 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

20 services20 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

11 services11 patients

Melanoma (skin cancer) excision NAN03

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

0 services1 patient

Cataract surgery NAN11

Cataract surgery is a procedure to remove the lens of your eye when it becomes cloudy, which is called a cataract. A synthetic lens is then inserted to restore clear vision. The operation is typically done on an outpatient basis and is very safe and effective.

0 services276 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

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.

76.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

93.33

Improvement Activities

Cost

29.23

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

100%48 patients5/55-star benchmark: 100%

Cataract Surgery: Difference Between Planned and Final Refraction

100%104 patients5/55-star benchmark: 100%

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

100%109 patients5/55-star benchmark: 100%

Diabetes: Eye Exam

100%43 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

45%3,262 patients1/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 712 patients

Patients screened: 100% · 712 patients

0%37 patients1/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,534 patients

Patients totalRate: 0% · 1,534 patients

0%1,534 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 8

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

JUDITH SIMON MD

Ophthalmology

21 N GILBERT ST
TINTON FALLS, NJ 07701

Monmouth County (732) 741-1902

CARDIAC CARE CENTER LLC

Specialist

21 N GILBERT ST
TINTON FALLS, NJ 07701

Monmouth County (732) 741-7400

ADVANCED MAXILLOFACIAL IMAGING SERVICES

Clinic/Center (Radiology)

21 N GILBERT ST
TINTON FALLS, NJ 07701

Monmouth County (732) 747-0993

DR. ARTHUR A O'KEEFE M.D.

Internal Medicine (Cardiovascular Disease)

21 N GILBERT ST
TINTON FALLS, NJ 07701

Monmouth County (732) 741-7400

JP ORAL SURGERY ASSOCIATES PC

Clinic/Center (Oral and Maxillofacial Surgery)

21 N GILBERT ST, SUITE 210
TINTON FALLS, NJ 07701

Monmouth County (732) 747-0993

DR. HEATHER MCGOWAN MD

Ophthalmology

21 N GILBERT ST
TINTON FALLS, NJ 07701

Monmouth County (732) 741-1902

DR. ARISTOTELIS E VLAHOS M.D

Internal Medicine (Cardiovascular Disease)

21 N GILBERT ST
TINTON FALLS, NJ 07701

Monmouth County (732) 741-7400

DR. MADHAV PRAKASH UPADHYAYA M.D.

Nuclear Medicine (Nuclear Cardiology)

21 N GILBERT ST
TINTON FALLS, NJ 07701

Monmouth County (732) 542-7600

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 Donald Macdonald's NPI number?

The NPI number for Donald Macdonald is 1982696985. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Donald Macdonald located?

Donald Macdonald practices at 21 N Gilbert St Suite 200, Tinton Falls, NJ 07701. The listed phone number is (732) 741-1902.

What is Donald Macdonald's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Donald Macdonald enrolled in Medicare?

Yes. Donald 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.

When was this NPI record last updated?

The NPPES record for Donald Macdonald was last updated on January 14, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.