Active NPI 1588647580 Individual Practitioner Male Practitioner

Dr. Andrew David Mcdonald , MD

Surgery • Sidney, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Mcdonald, MD is a certified Surgery practicing in Sidney, OH. With approximately 35 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 1991, Dr. Mcdonald delivers high-quality medical care to the local community at 915 W MICHIGAN ST.

Dr. Mcdonald is affiliated with Wilson Care, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

915 W Michigan St

Sidney, OH 453652491

Telephone 9374922094

Fax 9374921768

Associated Practice Facility / Clinic

🏢 Shelby County Memorial Hospital Association Facility NPI 1144496001

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sidney, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +15.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Sidney, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcdonald (35 Years) 35 Yrs

Sidney Specialty Average (20.0 Years) 20.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	269	210	$244.65	$86.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$303.45	$105.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	69	$345.45	$121.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	30	$193.20	$74.92
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	47	47	$696.15	$213.84
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	37	37	$505.05	$164.88
43249 Balloon dilation of esophagus using an endoscope	26	26	$418.95	$108.21
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$506.10	$170.57
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$505.05	$165.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$536.55	$164.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$152.25	$53.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$452.55	$159.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$376.95	$81.56
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$196.35	$68.24
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	12	12	$535.50	$162.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	311	228	$233.00	$86.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	135	135	$289.00	$107.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	29	$184.00	$77.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	59	$329.00	$123.53
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	44	44	$481.00	$169.12
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	43	43	$663.00	$213.24
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$359.00	$104.01
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	27	27	$482.00	$176.33
43249 Balloon dilation of esophagus using an endoscope	24	24	$399.00	$133.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$511.00	$170.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$431.00	$161.56
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	20	20	$510.00	$147.36
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$187.00	$68.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$145.00	$54.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	247	173	$219.95	$87.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$274.68	$108.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	83	29	$174.75	$69.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	44	$310.54	$122.75
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	33	$646.60	$210.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	26	$486.20	$194.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$410.38	$155.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	20	$136.65	$51.84
43249 Balloon dilation of esophagus using an endoscope	25	24	$473.36	$129.96
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$177.45	$70.86
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	20	$341.33	$106.83
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$476.88	$166.06
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$482.76	$176.70
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	13	13	$484.98	$157.98
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	11	$736.48	$281.24
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$457.35	$174.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	223	164	$193.00	$88.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$277.00	$110.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99	34	$188.82	$70.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	55	$279.00	$126.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	37	$116.00	$53.29
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$195.00	$71.19
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	39	39	$1142.00	$210.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	31	$530.00	$197.18
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	30	$944.00	$110.05
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$849.00	$180.72
43249 Balloon dilation of esophagus using an endoscope	20	20	$2718.00	$120.19
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$850.00	$175.00
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$848.00	$185.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$425.00	$165.21
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	11	$630.00	$166.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	216	134	$182.40	$73.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$263.17	$105.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	62	$264.82	$107.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	21	$180.43	$69.82
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	45	45	$1081.78	$236.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$403.84	$158.06
43249 Balloon dilation of esophagus using an endoscope	23	22	$2588.00	$113.01
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$800.78	$160.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$504.20	$203.12
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	17	$876.26	$119.02
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1840.92	$743.80
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$184.67	$74.58
45380 Biopsy of large bowel using an endoscope	12	12	$1029.83	$47.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$264.33	$79.27
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$798.73	$189.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	205	156	$178.00	$71.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$264.00	$102.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	83	$263.00	$101.74
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	50	50	$1045.20	$227.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	23	$181.00	$71.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$404.00	$154.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$505.00	$200.10
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	13	$662.00	$221.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$827.00	$115.78
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$772.00	$178.30
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$183.00	$73.89
43249 Balloon dilation of esophagus using an endoscope	17	17	$2419.00	$126.52
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$772.00	$165.66
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$732.00	$269.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	216	147	$154.36	$69.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	128	47	$152.77	$71.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	99	$215.71	$102.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$248.10	$103.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	47	47	$1026.81	$166.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	44	$402.93	$194.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$353.83	$155.82
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	35	$775.49	$101.91
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	29	29	$5103.38	$275.07
43249 Balloon dilation of esophagus using an endoscope	24	24	$1764.08	$119.57
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	18	$806.95	$167.31
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	12	$651.76	$245.06
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$803.38	$187.78
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$167.00	$72.00
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	11	$602.00	$182.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$282.00	$120.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	197	158	$110.00	$69.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	112	$160.00	$101.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	122	49	$95.00	$69.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$215.00	$100.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	53	$285.00	$197.76
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	48	48	$1000.00	$178.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$300.00	$158.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	33	$690.00	$101.43
45378 Diagnostic exam of large bowel using a flexible endoscope	25	24	$800.00	$168.49
43249 Balloon dilation of esophagus using an endoscope	24	24	$850.00	$126.28
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	22	22	$1000.00	$263.96
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$800.00	$180.91
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$800.00	$185.68
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$140.00	$71.55
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$575.00	$100.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$210.00	$130.94
49505 Repair of groin hernia (5 years or older)	12	12	$1766.67	$494.97

Medical Specialties & State Licenses

CMS Verified: 2020-12-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35072767

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

2022797 (OH)

Commercial Insurance / Payer ID Aetna

5859537 (OH)

Commercial Insurance / Payer ID Travlers Railroad

020040838 (OH)

Commercial Insurance / Payer ID Anthem

000000027728 (OH)

Hospital & Practice Group Affiliations

Wilson Care, Llc

915 Michigan St, Sidney, OH 453652401

Phone: 9374922094

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Robert Mcdevitt , MD

Surgery

NPI 1043293137

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 06, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 06, 2011

Registered at 915 W MICHIGAN ST, SIDNEY, OH 453652491 (Tel: 9374922094)

📍

Updated Business Mailing Address December 06, 2011

Registered at 915 W MICHIGAN ST, SIDNEY, OH 453652491 (Tel: 9374922094)

👤

Provider Name / Credentials Updated December 06, 2011

Recorded as ANDREW MCDONALD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2011

Surgery (License #35072767 in OH)

🟢

Initial NPI Registration & Enumeration November 22, 2005

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: 1588647580

Entity Type:

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

Enumeration Date: November 22, 2005

Last Update: December 29, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

915 W Michigan St

Sidney, OH 453652491

Phone: 9374922094

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.