Gary Patrick Macdonald, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

85317151204 Issued in UT

Practice address

965 E 700 S Ste 205
St George, UT 84790-4085

Phone

(435) 574-9146

Fax

(435) 574-9147

NPI assigned

Jul 27, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gary Patrick Raitt Former name

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Vista Health Center LLCGroup PAC ID 1052443710, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8078/brand/1/csg/1/fhir/r4
• Direct secure messaging: gary.macdonald.1@16501.direct.athenahealth.com
• Direct secure messaging: gary.macdonald.1@8078.direct.athenahealth.com

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

• Rocky Vista Health Center LLC

  • Family Medicine Physician
  • Englewood, CO
  • NPI 1366606709

  UT

  Medicare reassignment Care Compare group NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment NPD
• Ihc Health Services Inc

  dba Utah Valley Sports Medicine-North Valley

  • Sports Medicine (Orthopaedic Surgery) Physician
  • American Fork, UT
  • NPI 1477865491
  NPD

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1518271097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5148 N LONG SKY DR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707391",
            "telephone_number": "435-602-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 E 700 S STE 205",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904085",
            "telephone_number": "435-574-9146",
            "fax_number": "435-574-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "GARY",
        "middle_name": "PATRICK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "85317151204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "RAITT",
            "middle_name": "PATRICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• M.E.N.D. Counseling Center, L.L.C.
• Zachary Maag, AMFT
• Emily Mae Mabb
• Virginia Francisco Mabota
• Cary Mac Arthur, LMFT
• Rhonda Sikes Macfadzen, LMT
• Michelle Macfarlane, MPA-C
• Carlos Agustin Maciel
• Jared Wayne Mack, DDS
• Matthew Mackay, PSY.D.

• Family Medicine Physician in St George, UT
• Providers in St George, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.