Active NPI 1619167640 Individual Practitioner Male Practitioner

Dr. Matthew Dennis Mcdonald , DO

Surgery • Troy, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Mcdonald, DO is a certified Surgery practicing in Troy, NY. With approximately 25 years of clinical experience since graduating from New York College Of Osteo Medicine Of New York Institute Of Technology in 2001, Dr. Mcdonald delivers high-quality medical care to the local community at 720 HOOSICK ROAD.

Dr. Mcdonald maintains professional affiliations with Southwestern Vermont Medical Center, Inc, Twin Rivers Medical Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

720 Hoosick Road
Bariatric And Metabolic Care

Troy, NY 12180

Telephone 5186879779

Associated Practice Facility / Clinic

🏢 St. Peter's Health Partners Medical Associates, P.c. Facility NPI 1023538428

Medicare Profile & Education

Medical School

New York College Of Osteo Medicine Of New York Institute Of Technology

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Troy, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +3.7 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

11 Specialists

Practicing in Troy, NY (2269 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcdonald (25 Years) 25 Yrs

Troy Specialty Average (21.3 Years) 21.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	91	45	$350.00	$160.66
36415 Insertion of needle into vein for collection of blood sample	26	18	$15.00	$8.32
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	22	17	$15.00	$7.26
80053 Blood test, comprehensive group of blood chemicals	17	14	$21.00	$10.35
83735 Magnesium level	15	13	$13.00	$6.57
84443 Blood test, thyroid stimulating hormone (TSH)	14	13	$32.00	$15.90
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	14	12	$40.00	$15.64
84439 Thyroxine (thyroid chemical), free	13	12	$18.00	$8.16
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$775.00	$109.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$375.00	$194.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	35	$250.82	$118.65
36415 Insertion of needle into vein for collection of blood sample	58	35	$13.88	$8.11
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	52	32	$15.00	$7.56
80053 Blood test, comprehensive group of blood chemicals	52	33	$21.00	$10.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	31	$350.00	$162.35
83735 Magnesium level	47	29	$13.00	$6.57
84439 Thyroxine (thyroid chemical), free	42	28	$18.00	$8.84
84443 Blood test, thyroid stimulating hormone (TSH)	42	28	$32.00	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	39	29	$27.00	$13.12
83036 Hemoglobin A1C level	39	29	$20.00	$9.52
94760 Measurement of oxygen saturation in blood using ear or finger device	18	11	$5.00	$2.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$375.00	$187.56
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$775.00	$114.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$300.00	$147.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	30	$247.50	$126.32
36415 Insertion of needle into vein for collection of blood sample	44	23	$10.00	$2.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$300.00	$164.61
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	26	16	$15.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	26	16	$21.00	$10.35
83735 Magnesium level	22	14	$13.00	$6.57
84439 Thyroxine (thyroid chemical), free	22	14	$18.00	$8.84
84443 Blood test, thyroid stimulating hormone (TSH)	22	14	$32.00	$16.46
83036 Hemoglobin A1C level	20	15	$20.00	$9.52
80061 Blood test, lipids (cholesterol and triglycerides)	19	12	$27.00	$13.12
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	12	12	$16.00	$5.91
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$775.00	$94.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$142.00	$87.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$204.62	$120.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	28	$142.00	$70.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	16	$210.00	$107.89
99442 Telephone medical discussion with physician, 11-20 minutes	17	14	$123.97	$73.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$399.00	$186.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	30	$142.00	$68.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	20	$205.00	$94.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$399.00	$180.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$210.00	$102.25
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	15	$665.00	$99.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$320.00	$159.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	36	$210.00	$101.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	14	$142.00	$64.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$399.00	$186.54
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$665.00	$116.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$403.00	$183.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	28	$143.61	$70.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	26	$145.64	$69.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$332.28	$157.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$212.33	$103.24

Medical Specialties & State Licenses

CMS Verified: 2021-05-21

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 2383581

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

03175660 (NY)

Hospital & Practice Group Affiliations

Twin Rivers Medical Pc

100 Hospital Dr, Bennington, VT 052015004

Phone: 8024426361

Southwestern Vermont Medical Center, Inc

140 Hospital Dr, Bennington, VT 052015015

Phone: 8024475060

Southwestern Vermont Medical Center, Inc

100 Hospital Dr, Bennington, VT 052015004

Phone: 8024426361

Twin Rivers Medical Pc

7 Southwoods Blvd, Albany, NY 122112526

Phone: 5186416580

Secondary Practice Locations

750 E Adams St

Syracuse, NY 132102342

Phone: 3154641800

750 E Adams St

Syracuse, NY 132102342

Phone: 3154641800

319 So Manning Blvd Suite 307, St. Peter's Bariatric Care

Albany, NY 12208

Phone: 5185255208

Practice Associates & Co-Workers

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

8 Associated Practitioners

Sara Swan , FNP

Nurse Practitioner - Family

NPI 1093452641

Family Nurse Practitioner

Alyssa Kontoh , LMHC

Counselor - Mental Health

NPI 1144738238

Licensed Mental Health Counselor

Olivia Martinez , FNP-BC

Nurse Practitioner - Family

NPI 1174297709

Family Nurse Practitioner (Board Certified)

Lauren Zielinski , RD, RDN

Dietitian, Registered

NPI 1205333440

Registered Dietitian, Registered Dietitian Nutritionist

Dr. Samuel Hykin , MD

Surgery

NPI 1356603179

Doctor of Medicine (M.D.)

Jenna Hume , NP

Nurse Practitioner - Family

NPI 1558997817

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location April 26, 2019

Registered at 720 HOOSICK ROAD, BARIATRIC AND METABOLIC CARE, TROY, NY 12180 (Tel: 5186879779)

📍

Updated Business Mailing Address April 26, 2019

Registered at PO BOX 14890, ALBANY, NY 122124890

✅

NPI Profile Active August 31, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 31, 2012

Registered at 750 E ADAMS ST, SYRACUSE, NY 132102342 (Tel: 3154641800)

📍

Updated Business Mailing Address August 31, 2012

Registered at 750 E ADAMS ST, SYRACUSE, NY 132102342 (Tel: 3154641800)

👤

Provider Name / Credentials Updated August 31, 2012

Recorded as MATTHEW MCDONALD, D.O

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2012

Surgery (License #2383581 in NY)

🟢

Initial NPI Registration & Enumeration July 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1619167640

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 26, 2007

Last Update: May 21, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 14890

Albany, NY 122124890

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.