Individual provider Active NPI

Austin Tyler McDonald, MD

  • Emergency Medicine Physician
  • Morgantown, WV
National Provider Identifier
1053060947
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34125 Issued in WV
Practice address
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone
(304) 293-2436
Fax
(304) 293-6702
NPI assigned
Mar 20, 2022
Last updated
May 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34125 WV Primary

Addresses

Primary practice location

1 Medical Center Dr
Morgantown, WV 26506-1200

Mailing address

1 Medical Center Drive PO Box 9149
Morgantown, WV 26506

Other practice location 1

800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240920000037 WV Practitioner - General Practice 5294276002 Reassigns benefits to 8 organizations
I20251210001520 PA Practitioner - Emergency Medicine 5294276002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Braxton County Memorial HospitalGroup PAC ID 5193717759, 46 clinicians
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians
Reynolds Memorial Hospital, IncGroup PAC ID 9830184530, 152 clinicians

Practice addresses (Care Compare)

100 Hoylman Dr
Gassaway, WV 26624-9318
Phone (304) 364-5156

1325 Locust Ave
Fairmont, WV 26554-1482
Phone (304) 367-7100

500 W Berkeley St
Uniontown, PA 15401-5514
Phone (724) 430-6899

800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3310

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34125WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital of Buckhannon Inc CurrentSince Jun 4, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 1, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 1, 2025 Accepting new patients
Potomac Valley Hospital of W VA , Inc Emergency Medicine CurrentSince Apr 24, 2025 Accepting new patients
Braxton County Memorial Hospital CurrentSince Mar 20, 2025 Accepting new patients
Fayette Physician Network Inc CurrentSince Oct 2, 2025 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Oct 1, 2024 Accepting new patients
Potomac Valley Hospital of WV, Inc. Emergency Medicine CurrentSince Apr 24, 2025 Accepting new patients
Braxton County Memorial Hospital CurrentSince Mar 20, 2025 Accepting new patients
Potomac Valley Hospital of W VA , Inc Current Accepting new patients
Fayette Physician Network Inc CurrentSince Oct 2, 2025 Accepting new patients

Locations

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000

1325 Locust Ave
Fairmont, WV 26554
Phone (304) 367-7100

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: amcdonald330714@direct.wvuhsdirect.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1053060947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE PO BOX 9149",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "304-293-2436",
            "fax_number": "304-293-6702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Wheeling Ave",
            "address_purpose": "LOCATION",
            "city": "Glen Dale",
            "state": "WV",
            "postal_code": "260381660",
            "country_code": "US",
            "telephone_number": "304-843-3313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "AUSTIN",
        "middle_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-20",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "34125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.