Jeffrey H McDonald, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD18976 Issued in OR

Practice address

3043 NE 28TH St
Lincoln City, OR 97367-4518

Phone

(541) 994-3661

NPI assigned

Jun 2, 2006

Last updated

Mar 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA, OR2 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

Merit-based Incentive Payment System (MIPS)

Final score

94.95 of 100Reported as group

Quality

92.04

Promoting interoperability

100

Improvement activities

40

Cost

85.99

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Peacehealth Medical Group

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1447207287
  Medicare reassignment NPD
• Samaritan North Lincoln Hospital

  • Critical Access Hospital
  • Lincoln City, OR
  • NPI 1306897491
  Medicare reassignment NPD
• Emergency Medicine Associates PC

  • Emergency Medicine Physician
  • Vancouver, WA
  • NPI 1962453860
  Medicare reassignment NPD
• Peacehealth Medical Group

  dba Nurse Midwifery Birth Center

  • Birthing Clinic/Center
  • Springfield, OR
  • NPI 1881860856
  NPD
• Samaritan North Lincoln Hospital

  dba Samaritan Cardiology-Lincoln City

  • Cardiovascular Disease Physician
  • Lincoln City, OR
  • NPI 1841554177
  NPD
• Samaritan North Lincoln Hospital

  dba Samaritan Pharmacy - Lincoln City

  • Community/Retail Pharmacy
  • Lincoln City, OR
  • NPI 1851509905
  NPD
• Peacehealth

  dba PeaceHealth Southwest Medical Center

  • General Acute Care Hospital
  • Vancouver, WA
  • NPI 1134178999
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1447298716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1194",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 NE 28TH ST",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674518",
            "telephone_number": "541-994-3661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52608 NE 2nd St",
            "address_purpose": "LOCATION",
            "city": "Scappoose",
            "state": "OR",
            "postal_code": "970563216",
            "country_code": "US",
            "telephone_number": "503-313-3677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 6th St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835012431",
            "country_code": "US",
            "telephone_number": "512-730-3056",
            "fax_number": "888-730-1925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JEFFREY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GU",
            "license": "M-2028",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00031735",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-43939",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M-13506",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD18976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8180218",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074059",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G8855567",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcdonald156666@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3043 NE 28th St",
            "city": "Lincoln City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973674518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nina Louise Mattarella, MD
• Robin Mays, RPH
• Brenda McAllister, RN
• Christine Lynn McCambridge, PMHNP-BC
• Caitlyn McCoy, DO
• Kenneth Randall McEvers, DC
• Jacob Lane Merritt, MA
• Marty Michelson, LPC
• Dean W Mickelson, RPH
• John G Mickelson, DO

• Emergency Medicine Physician in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Emergency Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.