Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1114014693 Deactivated / Inactive NPI Male Practitioner

Dr. Peter Joseph Mcdonnell , MD

Surgery - Vascular Surgery • Palos Heights, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Mcdonnell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 06, 2006
NPI Deactivation Date April 16, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Mcdonnell, MD was a registered Surgery - Vascular Surgery practicing in Palos Heights, IL. Throughout an active medical career spanning 15 years, Dr. Mcdonnell provided care at the practice location at 12255 S 80TH AVE until profile deactivation on 2021-04-16.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, initial hospital inpatient care per day. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

12255 S 80th Ave
Suite 203

Palos Heights, IL 604631270

Telephone 7089237870
Fax 7082262423
Associated Practice Facility / Clinic
🏢 Janis A Gumpel Md Sc Facility NPI 1154485241

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Palos Heights, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Palos Heights, IL (207 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
101 79 $204.01 $76.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
41 34 $124.54 $46.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
35 34 $297.00 $111.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
34 34 $294.94 $110.29
99221 Initial hospital inpatient care per day, typically 30 minutes
11 11 $279.09 $103.89

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License IL 036079089

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Dr. Natalie Pitaro , MD

Internal Medicine

NPI 1013940568

Doctor of Medicine (M.D.)

NPI 1104919646

Licensed Clinical Social Worker, SAP, Master of Social Work

Dr. Maysoon Al-Naqeeb , MD

Obstetrics & Gynecology

NPI 1174558282

Doctor of Medicine (M.D.)

Dr. Janis Gumpel-Leipold , MD

Obstetrics & Gynecology

NPI 1215949706

Doctor of Medicine (M.D.)

Dr. Ahmad Bashir , MD

Psychiatry & Neurology - Psychiatry

NPI 1235436288

Doctor of Medicine (M.D.)

Dr. Patrick Mccormick , MD

Internal Medicine - Cardiovascular Disease

NPI 1346269768

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated April 16, 2021

Record deactivated on April 16, 2021

NPI Profile Active December 22, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2015

Registered at 12255 S 80TH AVE, SUITE 203, PALOS HEIGHTS, IL 604631270 (Tel: 7089237870)

📍
Updated Business Mailing Address December 22, 2015

Registered at 15300 WEST AVE, SUITE 22 S., ORLAND PARK, IL 604624600 (Tel: 7082262623)

👤
Provider Name / Credentials Updated December 22, 2015

Recorded as PETER MCDONNELL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2015

Surgery (License #036079089 in IL)

🟢
Initial NPI Registration & Enumeration October 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Peter Mcdonnell. Be the first to share your experience!

Sign in to leave a review for Dr. Peter Mcdonnell

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1114014693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: December 22, 2015
Deactivation Date: April 16, 2021

Mailing Address

15300 West Ave, Suite 22 S.

Orland Park, IL 604624600

Phone: 7082262623

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.