Michael Mcdonald, PA
NPI 1265413793 · Physician Assistant · Middletown, CT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Mcdonald, PA is a Physician Assistant provider in Middletown, CT (NPI 1265413793).
Provider details
- NPI number
- 1265413793
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 000870 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
589 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 173 | $119 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 126 | $83 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 96 | $104 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 66 | $118 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 66 | $72 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 270 | 82 |
| Omeprazole | 236 | 72 |
| Famotidine | 151 | 48 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 116 | 116 |
| Linaclotidebrand: Linzess | 97 | 14 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 88 | 88 |
| Lipase/Protease/Amylasebrand: Creon |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$467 across 23 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-10
- Last updated
- 2015-03-25
Frequently asked questions
- What is Michael Mcdonald's NPI number?
- Michael Mcdonald's National Provider Identifier (NPI) is 1265413793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Mcdonald's specialty?
- Michael Mcdonald is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michael Mcdonald located?
- Michael Mcdonald's practice location on file with NPPES is 410 Saybrook Rd, Middletown, CT 06457-4777.
- What is Michael Mcdonald's phone number?
- The practice phone number listed in the NPPES registry for Michael Mcdonald is (860) 347-4620.
- Does Michael Mcdonald accept Medicare?
- Michael Mcdonald is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Mcdonald's NPI active?
- Yes — Michael Mcdonald's NPI (1265413793) is active in the NPPES registry as of the last update on 2015-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.