Kevin C McDonald, DPM
Individual provider Active NPI Primary Podiatric Medicine Podiatrist · Concord, NC
NPI 1992810717 · NPPES record last updated Aug 9, 2022
Key facts
- NPI
- 1992810717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Podiatric Medicine Podiatrist 213EP1101X
- License
- 443 (NC)
- Practice address
- 1022 Lee Ann Dr NE
Concord, NC 28025-2911 - Phone
- (704) 786-4482
- Fax
- (704) 786-0604
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Instride Foot and Ankle Specialists, PLLC
Foot and Ankle Specialists of the Mid-Atlantic LLC
Practice addresses (Care Compare)
1022 Lee Ann Dr NE
Concord, NC 28025-2911
Phone (704) 786-4482
130 Lake Concord Rd NE
Suite B
Concord, NC 28025-1906
Phone (704) 786-4482
1418 E Millbrook Rd
Raleigh, NC 27609-4812
Phone (919) 850-9111
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 16 |
| Removal of skin lesions | 22 |
| Removal of nail tissue | 391 |
| Removal or shaving of skin growth | 135 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050810001071 | NC | Practitioner - Podiatry | 0143259572 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 577 | GA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Instride Foot and Ankle Specialists, PLLC | Primary Podiatric Medicine | Current |
Accepting new patients |
| Queen City Foot and Ankle Specialists | Current | Accepting new patients | |
| Instride Foot and Ankle Specialists, PLLC | Primary Podiatric Medicine | Current |
Accepting new patients |
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Foot & Ankle Surgery | Current |
Accepting new patients |
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Primary Podiatric Medicine | Current |
Accepting new patients |
| Family Foot Care of Statesboro | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
8201 Healthcare Loop
Ste 202
Charlotte, NC 28215
Phone (704) 316-1120
1036 Branchview Dr
Ste 216
Concord, NC 28025
Phone (704) 886-1918
130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482
1022 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 786-4482
6602 Roberta Rd
Harrisburg, NC 28075
Phone (704) 454-5558
1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111
Interoperability endpoints
- kevin.mcdonald@ifasp.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 443 | NC | |
| Foot Surgery Podiatrist | 213ES0131X | 443 | NC | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 443 | NC | Yes |
Addresses
Primary practice location
1022 Lee Ann Dr NE
Concord, NC 28025-2911
Mailing address
1022 Lee-Ann Drive NE
Concord, NC 28025
Phone (704) 886-1918
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01141570 | Other | NC | RAILROAD |
| 890811C | Medicaid | NC |
Other providers in Concord, NC
- Simia Shoneal McCotter
- Tenia McCoy
- Hayley McCurdy
- Jessica L. McCutcheon
- Heyward Cruce McDaniel
- Ronald Steven McDonald
- Jillian Ann McDowell
- Julia Holliday McDowell
- Janautika McFadden
- Teresa McGee
All providers in Concord, NC · Primary Podiatric Medicine Podiatrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.