Andrew David McDonald, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35072767 Issued in OH

Practice address

915 W Michigan St
Sidney, OH 45365-2491

Phone

(937) 492-2094

Fax

(937) 492-1768

NPI assigned

Nov 22, 2005

Last updated

Dec 29, 2020By the provider in NPPES

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 identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

General Surgery

Education

Southern Illinois University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilson Care, LLCGroup PAC ID 4385549666, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wilson Memorial Hospital Hospital, Sidney, OH, CCN 360013
• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
• Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

Merit-based Incentive Payment System (MIPS)

Final score

86.07 of 100Reported as group

Quality

72.51

Promoting interoperability

100

Improvement activities

40

Cost

81.06

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amcdonald1542826@direct.osumc.edu
• FHIR API: https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4

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.

• Wilson Care, LLC

  dba Wilson Health Medical Group

  • Family Medicine Physician
  • Sidney, OH
  • NPI 1205886926
  Medicare reassignment Care Compare group NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354
  Care Compare affiliation
• Shelby County Memorial Hospital Association Inc.

  dba Wilson Health

  • General Acute Care Hospital
  • Sidney, OH
  • NPI 1639174204
  Care Compare affiliation
• Upper Valley Medical Center

  • General Acute Care Hospital
  • Troy, OH
  • NPI 1184638942
  Care Compare affiliation

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1588647580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652491",
            "telephone_number": "937-492-2094",
            "fax_number": "937-492-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652491",
            "telephone_number": "937-492-2094",
            "fax_number": "937-492-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35072767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5859537",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVLERS RAILROAD",
            "identifier": "020040838",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000027728",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022797",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.mcdonald@wilsonhospital.medicity.net",
            "affiliation": "N",
            "address_1": "915 W Michigan St",
            "city": "Sidney",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453652491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexa Mason
• Kyle Maus, DO
• Miranda Maynard
• Rosemary McCarthy, D.O.
• Robert J McDevitt Jr., M.D.
• Diana McWilliams
• Jalynn Mead
• Kathy Luan Mertz, LPN
• Erin M Meyer, BSW, MSW, LSW
• Janell Marie Meyer, DNP, FNP

• Surgery Physician in Sidney, OH
• Providers in Sidney, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.