Individual provider Active NPI

Robert Hilton McDonald, DO

  • Otolaryngic Allergy Physician
  • Joplin, MO
National Provider Identifier
1992743066
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
2006035755 Issued in MO
Practice address
100 Mercy Way
Ste 560
Joplin, MO 64804-4524
Phone
(417) 556-8566
Fax
(417) 556-8569
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 3677 OK
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 2006035755 MO
Otolaryngic Allergy Physician 207YX0602X 2006035755 MO Primary

Addresses

Primary practice location

100 Mercy Way
Ste 560
Joplin, MO 64804-4524

Mailing address

100 Mercy Way
Ste 560
Joplin, MO 64804-4524
Phone (417) 556-8566

Other identifiers 3

IdentifierTypeStateIssuer
1992743066MedicaidMO
200547350BMedicaidKS
100165850AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050711000008 OK Practitioner - Allergy/ImmunologyPractitioner - Otolaryngology 7315973682 Reassigns benefits to 3 organizations
I20180531000523 AR Practitioner - Otolaryngology 7315973682 Reassigns benefits to 2 organizations
I20200127000168 TX Practitioner - Otolaryngology 7315973682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee Nation 446 clinicians
Sgoh Acquisition Inc 95 clinicians
Northeastern Oklahoma Community Health Centers, Inc 38 clinicians
Northeastern Health System 105 clinicians

Practice addresses (Care Compare)

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

1101 Jackson St SW
Gravette, AR 72736-9121
Phone (479) 787-5291

1203 E Ross Byp
Tahlequah, OK 74464-4133
Phone (918) 453-1234

124 E Main St
Hulbert, OK 74441-8916
Phone (918) 772-2879

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641

27371 S 4410 Rd
Vinita, OK 74301-7953
Phone (918) 256-4800

301 S J T Stites St
Sallisaw, OK 74955-9302
Phone (918) 775-9150

Hospital & facility affiliations

  • Cherokee Nation W W Hastings Indian Hospital Hospital, Tahlequah, OK, CCN 370171
  • Ozarks Community Hospital of Gravette Hospital, Gravette, AR, CCN 041331
  • Northeastern Health System Hospital, Tahlequah, OK, CCN 370089

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
72.78
Promoting interoperability
98
Improvement activities
40
Cost
76.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision22
Removal of skin lesions65
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sgoh Acquisition Inc CurrentSince May 3, 2018 Accepting new patients
Northeastern Oklahoma Community Health Centers Inc Otolaryngology CurrentSince Nov 4, 2019 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Northeastern Health System CurrentSince Oct 1, 2019 Accepting new patients
Northeastern Health System CurrentSince Oct 1, 2019 Accepting new patients
Cherokee Nation CurrentSince Dec 10, 2019 Accepting new patients
Northeastern Health System Current Accepting new patients
Tahlequah Medical Group LLC CurrentSince Oct 1, 2019 Accepting new patients
Northeastern Oklahoma Community Health Centers Inc Otolaryngology Current Accepting new patients
Sgoh Acquisition Inc CurrentSince May 3, 2018 Accepting new patients
Cherokee Nation CurrentSince Dec 10, 2019 Accepting new patients
Northeastern Oklahoma Community Health Centers, Inc Otolaryngology CurrentSince Nov 4, 2019 Accepting new patients
Sjmgroup Past Accepting new patients
Northeastern Oklahoma Community Health Centers, Inc Otolaryngology Past Accepting new patients
Cherokee Nation Past Accepting new patients
Northeastern Health System Past Accepting new patients

Locations

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

124 E Main St
Hulbert, OK 74441
Phone (918) 772-2879

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

1201 E Ross Byp
Tahlequah, OK 74464
Phone (918) 207-0991

1500 E Downing St
Ste 201
Tahlequah, OK 74464
Phone (918) 772-3390

1203 E Ross Byp
Tahlequah, OK 74464
Phone (918) 453-1234

1203 E Ross Byp
Ste A
Tahlequah, OK 74464
Phone (918) 453-1234

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: rmcdonald190710@directb.mercy.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/

Organizations & group practices 47

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.

View all 47

Hospital & facility affiliations 7

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1992743066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "address_2": "STE 560",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-556-8566",
            "fax_number": "417-556-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "address_2": "STE 560",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-556-8566",
            "fax_number": "417-556-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ROBERT",
        "middle_name": "HILTON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "3677",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MO",
            "license": "2006035755",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "MO",
            "license": "2006035755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992743066",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200547350B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100165850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.