Brian Mcdonough, MD
NPI 1124037262 · Family Medicine Physician · Wilmington, DE
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brian Mcdonough, MD is a Family Medicine Physician provider in Wilmington, DE (NPI 1124037262).
Provider details
- NPI number
- 1124037262
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- C10002808 (DE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
217 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 101 | $88 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 58 | $125 |
| Hemoglobin A1c Level83036 | 29 | $10 |
| Administration of Influenza Virus VaccineG0008 | 16 | $32 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 13 | $127 |
Typical Medicare-allowed amounts for these services range $10–$127 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-07
- Last updated
- 2021-05-17
- Certified
- 2021-05-17
Frequently asked questions
- What is Brian Mcdonough's NPI number?
- Brian Mcdonough's National Provider Identifier (NPI) is 1124037262, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brian Mcdonough's specialty?
- Brian Mcdonough is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Brian Mcdonough located?
- Brian Mcdonough's practice location on file with NPPES is 701 N Clayton St, Wilmington, DE 19805-3165.
- What is Brian Mcdonough's phone number?
- The practice phone number listed in the NPPES registry for Brian Mcdonough is (302) 575-8040.
- Does Brian Mcdonough accept Medicare?
- Brian Mcdonough is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brian Mcdonough's NPI active?
- Yes — Brian Mcdonough's NPI (1124037262) is active in the NPPES registry as of the last update on 2021-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.