What is Michael Mcdonald's specialty?

Michael Mcdonald (NPI 1265413793) is a Medicare-billing provider whose primary specialty is Physician Assistant in Middletown, CT.

Where does Michael Mcdonald practice?

Michael Mcdonald practices in Middletown, CT, based on the location reported in the CMS Medicare provider datasets for NPI 1265413793.

How much does Medicare pay Michael Mcdonald?

Michael Mcdonald (NPI 1265413793) received approximately $41K in total Medicare Part B payments, serving 389 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1265413793

Michael McdonaldPA

Physician AssistantMiddletown, CTI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

513

Unique beneficiaries

—

Total services

589

Distinct HCPCS

Medicare payment

$40K

Peer benchmark

Total Medicare services vs. 2,222 Physician Assistant providers in CT — top quintile (cohort median 156).

PRESCRIBING · PART D · 2024

Total Rx claims

1,456

Beneficiaries

—

Total drug cost

$504K

Distinct drugs

Brand share

40.1%

Top prescribed drugs

Pantoprazole Sodium270 claims

Omeprazole236 claims

Famotidine151 claims

Peg3350/Sod Sulf,bicarb,cl/Kcl116 claims

Linaclotide97 claims

QUALITY · MIPS · 2024

Final MIPS score

90.8

Quality

90.8

Cost

74.8

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.66%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$538

Payment records

By payment type

Food and Beverage$538

Top paying entities

Food and Beverage$538

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 070020

Hospital

REFERRAL NETWORK

Where Michael Mcdonald's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 29 inbound referrers · 54 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Adam Elias Diagnostic Radiology · Bedford, NH	36	54
Quest Diagnostics Llc Clinical Laboratory · Wallingford, CT	34	55
Michael Johnson Diagnostic Radiology · Middletown, CT	34	45
Stephen Franklin Cardiology · Middletown, CT	30	45
Manju John Internal Medicine · Middletown, CT	30	36
Robert Wolek Diagnostic Radiology · Middletown, CT	30	37
Bruce Kovalenko Interventional Radiology · Bridgeport, CT	29	42
Ravi Jain Diagnostic Radiology · Middletown, CT	29	41
OPALACZ, STANISLAUS	28	44
Edmund Chung Gastroenterology · Middletown, CT	25	44
Mario Ricci Gastroenterology · Middletown, CT	22	36
Jeffrey Takahashi Diagnostic Radiology · Middletown, CT	20	37

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MIDDLESEX HOSPITAL	251	880
Hunter's Ambulance Service, Inc. Ambulance Service Provider · Meriden, CT	55	99
Middlesex Endoscopy Center Llc Ambulatory Surgical Center · Middletown, CT	51	72
Barton Kenney Pathology · New Haven, CT	38	53
Nancy Rini Diagnostic Radiology · Middletown, CT	35	64
Adam Elias Diagnostic Radiology · Bedford, NH	34	72
Jonathan Levine Pathology · Middletown, CT	34	55
Edmund Chung Gastroenterology · Middletown, CT	32	51
Gregor Koobatian Gastroenterology · Middletown, CT	31	49
Ravi Jain Diagnostic Radiology · Middletown, CT	29	48
Quest Diagnostics Llc Clinical Laboratory · Wallingford, CT	29	46
Stephen Franklin Cardiology · Middletown, CT	28	39

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events