Individual provider Active NPI

Colin Matthew McDonald, D.O.

  • Orthopaedic Surgery Physician
  • York, PA
National Provider Identifier
1679921514
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OT017148 Issued in PA
Practice address
1001 S George St
York, PA 17403-3676
Phone
(717) 812-4090
Fax
(717) 812-4092
NPI assigned
Jun 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OT017148 PA Primary

Addresses

Primary practice location

1001 S George St
York, PA 17403-3676

Mailing address

1001 S George St
York, PA 17403-3676
Phone (717) 812-4090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210526002943 NY Practitioner - Orthopedic Surgery 5698050565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

240 Riverside Dr
Johnson City, NY 13790-2732
Phone (607) 798-9356

Hospital & facility affiliations

  • Lourdes at Home Chha Home health agency, Vestal, NY, CCN 337415
  • Our Lady of Lourdes Memorial Hospital, Inc Hospital, Binghamton, NY, CCN 330011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement20
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT017148PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. Current Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince Aug 17, 2022 Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
University Orthopaedic Services, Inc Orthopaedic Surgery CurrentSince Jun 1, 2021 Accepting new patients
University Orthopaedic Services Inc. Orthopaedic Surgery CurrentSince Jun 1, 2021 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Aug 17, 2022 Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

65 Pennsylvania Ave
Ste 303
Binghamton, NY 13903
Phone (607) 798-5953

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

4949 Harlem Rd
Buffalo, NY 14226
Phone (716) 204-3201

160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070

240 Riverside Dr
Johnson City, NY 13790
Phone (607) 754-3863

5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

Interoperability endpoints

  • Direct secure messaging: cmcdonald196854@direct-guthrie.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1679921514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-812-4090",
            "fax_number": "717-812-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-812-4090",
            "fax_number": "717-812-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "COLIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OT017148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.