William Duncan Donald III, M.D.
Individual provider Active NPI Surgery Physician · Hattiesburg, MS
NPI 1013005040 · NPPES record last updated Nov 10, 2015
Key facts
- NPI
- 1013005040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 16525 (MS)
- Practice address
- 6051 US Hwy 49
Hattiesburg, MS 39401-7200 - Phone
- (601) 288-2690
- Fax
- (601) 288-2695
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Mississippi School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- FGH Trauma Surgery Clinic
Practice addresses (Care Compare)
6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-2690
Hospital & facility affiliations
- Forrest General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 87.45
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 87.26
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080108000139 | MS | Practitioner - General Surgery |
5496835167 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FGH Trauma Surgery Clinic | Surgery | Current |
Accepting new patients |
| Forrest County General Hospital | Past | Accepting new patients |
Locations
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 16525 | MS | Yes |
Addresses
Primary practice location
6051 US Hwy 49
Hattiesburg, MS 39401-7200
Mailing address
PO Box 16389
FGH Trauma Surgery Clinic
Hattiesburg, MS 39404-6389
Phone (601) 288-2690
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02232066 | Medicaid | MS |
Other providers in Hattiesburg, MS
- Bruce H. Dixon
- Chyra Dixon
- Emily Goff Dixon
- Stephen Todd Dixon
- DJ Shuttle & Tour Service, Inc.
- Courtney Nicole Dossett
- Amy R Douglas
- Christopher John Douglas
- Garrett Douglas
- Laurie Evans Douglas
All providers in Hattiesburg, MS · Surgery Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.