Active NPI 1790742849 Individual Practitioner Male Practitioner

Dr. John Mcdonough , MD

Surgery • Marion, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Mcdonough, MD is a certified Surgery practicing in Marion, OH. With approximately 29 years of clinical experience since graduating from Wayne State University School Of Medicine in 1997, Dr. Mcdonough delivers high-quality medical care to the local community at 1040 DELAWARE AVE.

Dr. Mcdonough is affiliated with Marion Area Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1040 Delaware Ave

Marion, OH 433026416

Telephone 7403837950

Fax 7403837097

Associated Practice Facility / Clinic

🏢 Marion Hospitalists Services, Llc Facility NPI 1356520449

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Marion, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +5.8 yrs vs City Avg

City Avg: 23.2 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

6 Specialists

Practicing in Marion, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcdonough (29 Years) 29 Yrs

Marion Specialty Average (23.2 Years) 23.2 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	93	50	$126.00	$48.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	77	74	$245.00	$127.97
99213 Established patient office or other outpatient visit, typically 15 minutes	54	46	$126.00	$87.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$189.00	$108.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	33	$76.00	$54.75
45380 Biopsy of large bowel using an endoscope	47	47	$799.00	$130.84
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	33	$948.00	$242.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$526.00	$88.14
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	20	$526.00	$122.25
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$195.00	$81.72
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$447.00	$89.71
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$130.00	$69.77
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$668.00	$180.25
47562 Removal of gallbladder using an endoscope	11	11	$2325.09	$635.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	49	$76.00	$54.40
99213 Established patient office or other outpatient visit, typically 15 minutes	58	55	$126.00	$87.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	53	$245.00	$126.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	36	$126.00	$49.00
45380 Biopsy of large bowel using an endoscope	51	50	$799.00	$128.29
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	38	38	$948.00	$237.68
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$130.00	$69.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$189.00	$108.69
99221 Initial hospital inpatient care per day, typically 30 minutes	25	24	$195.00	$81.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$526.00	$110.38
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	16	$526.00	$91.77
47562 Removal of gallbladder using an endoscope	12	12	$2455.67	$661.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	47	$76.00	$54.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$189.00	$107.93
45380 Biopsy of large bowel using an endoscope	54	54	$799.00	$140.78
99213 Established patient office or other outpatient visit, typically 15 minutes	47	44	$126.00	$86.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	24	$126.00	$38.12
99221 Initial hospital inpatient care per day, typically 30 minutes	37	37	$195.00	$99.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	35	$245.00	$133.23
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	28	28	$948.00	$252.68
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$130.00	$70.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$526.00	$95.20
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$526.00	$110.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	51	$126.00	$87.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	31	$126.00	$38.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$189.00	$109.48
99221 Initial hospital inpatient care per day, typically 30 minutes	47	45	$195.00	$100.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	33	$76.00	$54.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$245.00	$135.06
45380 Biopsy of large bowel using an endoscope	30	30	$799.00	$164.84
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$948.00	$249.10
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$130.00	$71.69
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$526.00	$116.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$526.00	$102.06
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$447.00	$96.71
45380 Biopsy of large bowel using an endoscope	12	12	$799.00	$134.45
47562 Removal of gallbladder using an endoscope	11	11	$2375.64	$681.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	73	69	$191.16	$102.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	31	$94.20	$39.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	45	$76.00	$44.28
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	50	48	$948.00	$257.41
99213 Established patient office or other outpatient visit, typically 15 minutes	45	41	$126.00	$72.54
45380 Biopsy of large bowel using an endoscope	43	41	$799.00	$99.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$189.00	$105.90
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$130.00	$71.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$245.00	$138.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$187.00	$107.23
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$447.00	$97.51
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	12	$526.00	$94.99
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$447.00	$86.82
47562 Removal of gallbladder using an endoscope	12	12	$2270.33	$635.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	82	$76.00	$43.35
99213 Established patient office or other outpatient visit, typically 15 minutes	86	75	$126.00	$71.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$189.00	$104.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	52	$245.00	$134.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	27	$71.00	$38.98
45380 Biopsy of large bowel using an endoscope	41	41	$803.88	$172.91
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$130.00	$73.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	23	$526.00	$119.76
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$447.00	$86.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$948.00	$239.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$526.00	$124.74
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$181.00	$100.44
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$668.00	$173.17
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1098.00	$340.65
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$447.00	$100.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$187.00	$105.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$235.00	$127.71
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$668.00	$180.56
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$39.00	$18.67
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$948.00	$243.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	126	104	$76.00	$41.65
99213 Established patient office or other outpatient visit, typically 15 minutes	88	81	$126.00	$69.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$189.00	$102.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	31	$71.00	$38.50
99221 Initial hospital inpatient care per day, typically 30 minutes	41	39	$181.00	$99.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$245.00	$131.91
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	34	34	$954.97	$190.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$526.00	$108.84
45380 Biopsy of large bowel using an endoscope	27	27	$799.00	$155.37
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$130.00	$71.95
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	22	21	$17.00	$5.55
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$447.00	$101.72
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$526.00	$96.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$139.00	$75.25
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$91.00	$47.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$187.00	$103.47
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	13	13	$972.00	$275.11
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$668.00	$187.68
45380 Biopsy of large bowel using an endoscope	13	13	$799.00	$192.17
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1098.00	$338.03
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$447.00	$107.37
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$668.00	$178.39
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$39.00	$18.43
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$668.00	$187.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	194	164	$76.00	$41.20
99213 Established patient office or other outpatient visit, typically 15 minutes	119	105	$125.71	$69.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	89	40	$71.00	$38.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$189.00	$102.21
99221 Initial hospital inpatient care per day, typically 30 minutes	70	67	$181.00	$97.94
45380 Biopsy of large bowel using an endoscope	46	46	$799.00	$167.19
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	41	41	$526.00	$115.10
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	32	32	$967.75	$251.74
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	29	29	$17.00	$5.54
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	25	$526.00	$124.86
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$130.00	$66.35
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	19	16	$17.00	$5.53
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$1098.00	$338.92
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$668.00	$187.34
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$447.00	$88.40
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$668.00	$176.42
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$91.00	$49.69

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35081423M

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

2333853 (OH)

Commercial Insurance / Payer ID Anthem

000000233026 (OH)

Commercial Insurance / Payer ID Tax Id

311098079

Commercial Insurance / Payer ID Submitter No

353077

Commercial Insurance / Payer ID Aetna

7794409

Commercial Insurance / Payer ID Ppo Next

311098079

Commercial Insurance / Payer ID Cigna

311098079

Commercial Insurance / Payer ID Travelers Medicare

020052624

Commercial Insurance / Payer ID Uhc

1402423

Hospital & Practice Group Affiliations

Marion Area Physicians Llc

1040 Delaware Ave, Marion, OH 433026416

Phone: 7403837936

Marion Area Physicians Llc

1050 Delaware Ave, Marion, OH 433026416

Phone: 7403837936

Practice Associates & Co-Workers

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

14 Associated Practitioners

Elizabeth Hinkel , PA-C

Physician Assistant

NPI 1073147435

Physician Assistant (Certified)

Dr. Jennifer Lam , MD

Urology

NPI 1073879730

Doctor of Medicine (M.D.)

Dr. David Fitkin , MD

Urology

NPI 1164472775

Doctor of Medicine (M.D.)

Dr. Noel Eboh , MD

Neurological Surgery

NPI 1164480851

Doctor of Medicine (M.D.)

Dr. Srinivas Ravi , MD

Surgery

NPI 1225083033

Doctor of Medicine (M.D.)

Jennifer Willison , PA

Physician Assistant

NPI 1285214742

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 23, 2015

Registered at 1040 DELAWARE AVE, MARION, OH 433026416 (Tel: 7403837950)

📍

Updated Business Mailing Address October 23, 2015

Registered at # L-3652, COLUMBUS, OH 432606052 (Tel: 7403837927)

👤

Provider Name / Credentials Updated October 23, 2015

Recorded as JOHN MCDONOUGH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2015

Surgery (License #35081423M in OH)

🟢

Initial NPI Registration & Enumeration May 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790742849

Entity Type:

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

Enumeration Date: May 01, 2006

Last Update: December 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

# L-3652

Columbus, OH 432606052

Phone: 7403837927

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.