Individual provider Active NPI

Halliday Craige McDonald, M.D.

  • Dermatology Physician
  • West Lake Hills, TX
National Provider Identifier
1285835603
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M8173 Issued in TX
Practice address
102 Westlake Dr Ste 103
West Lake Hills, TX 78746-5373
Phone
(512) 327-7779
NPI assigned
May 31, 2007
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X M8173 TX Primary
Dermatology Physician 207N00000X DR-49057 CO

Addresses

Primary practice location

102 Westlake Dr Ste 103
West Lake Hills, TX 78746-5373

Mailing address

102 Westlake Dr Ste 103
West Lake Hills, TX 78746-5373
Phone (512) 327-7779

Other identifiers 1

IdentifierTypeStateIssuer
BP2-0026120OtherINSTITUTIONAL PERMIT

Other names 1

  • Mrs. Helen Halliday Craige Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090612000461 TX Practitioner - Dermatology 3072663061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Dermatology PAGroup PAC ID 7113043654, 7 clinicians

Practice addresses (Care Compare)

102 Westlake Dr
Austin, TX 78746-5373

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision70
Removal of skin lesions411
Removal or shaving of skin growth19
Skin biopsy423

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR-49057COMDDermatology Physician
M8173TXMDDermatology Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1285835603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WESTLAKE DR STE 103",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465373",
            "telephone_number": "512-327-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WESTLAKE DR STE 103",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465373",
            "telephone_number": "512-327-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "HALLIDAY",
        "middle_name": "CRAIGE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M8173",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR-49057",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP2-0026120",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "CRAIGE",
            "middle_name": "HALLIDAY",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.