Active NPI 1831148600 Individual Practitioner Male Practitioner

Dr. Kevin M. Macdonald , MD

Orthopaedic Surgery • Seattle, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Macdonald, MD is a certified Orthopaedic Surgery practicing in Seattle, WA. With approximately 22 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2004, Dr. Macdonald delivers high-quality medical care to the local community at 1959 NE PACIFIC ST.

Dr. Macdonald is affiliated with The Association Of University Physicians and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, replacement of thigh bone and hip joint with prosthesis. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1959 Ne Pacific St

Seattle, WA 981952756

Telephone 2065205000

Associated Practice Facility / Clinic

🏢 University Of Washington Facility NPI 1326002049

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Seattle, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +0.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

154 Specialists

Practicing in Seattle, WA (707 Statewide)

Telehealth Adoption Rate

27.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Macdonald (22 Years) 22 Yrs

Seattle Specialty Average (21.1 Years) 21.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	42	$188.88	$98.89
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$87.00	$69.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$280.00	$140.56
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$3707.35	$1377.43
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	$620.89	$209.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$315.00	$151.77
27447 Replacement of knee joint, both sides of knee	14	14	$3741.06	$1371.43
36415 Insertion of needle into vein for collection of blood sample	13	12	$24.00	$8.65

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	50	45	$184.96	$104.19
99213 Established patient office or other outpatient visit, typically 15 minutes	35	33	$87.00	$71.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$280.00	$140.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	33	$315.00	$154.74
27447 Replacement of knee joint, both sides of knee	31	27	$3608.00	$1408.10
36415 Insertion of needle into vein for collection of blood sample	19	19	$22.11	$8.40
27130 Replacement of thigh bone and hip joint with prosthesis	12	11	$3492.96	$1350.87
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$4054.09	$1587.43

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	83	72	$170.63	$106.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	40	$297.65	$154.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$289.95	$146.28
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$77.14	$69.10
27447 Replacement of knee joint, both sides of knee	27	25	$3675.71	$1386.52
27130 Replacement of thigh bone and hip joint with prosthesis	23	23	$3632.83	$1376.19
36415 Insertion of needle into vein for collection of blood sample	16	16	$18.25	$2.96
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	$414.45	$198.19

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	94	84	$153.98	$106.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	46	$252.04	$155.78
27130 Replacement of thigh bone and hip joint with prosthesis	37	36	$3670.00	$1419.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$300.00	$144.80
36415 Insertion of needle into vein for collection of blood sample	23	19	$16.00	$2.90
27447 Replacement of knee joint, both sides of knee	22	22	$3706.65	$1430.47
20610 Aspiration and/or injection of fluid from large joint	14	13	$176.07	$49.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$410.00	$199.83
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$65.00	$65.22

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	63	59	$148.00	$86.13
99213 Established patient office or other outpatient visit, typically 15 minutes	60	52	$64.00	$55.95
27130 Replacement of thigh bone and hip joint with prosthesis	35	34	$3701.13	$1534.80
27447 Replacement of knee joint, both sides of knee	28	27	$3679.56	$1528.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$147.00	$82.68
36415 Insertion of needle into vein for collection of blood sample	15	15	$16.00	$2.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$293.00	$140.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$245.00	$113.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$288.00	$86.41
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$265.00	$111.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	83	$67.91	$54.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	49	$149.00	$84.39
27447 Replacement of knee joint, both sides of knee	23	23	$3789.00	$1491.67
27130 Replacement of thigh bone and hip joint with prosthesis	20	19	$3615.00	$1492.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$150.00	$81.53
36415 Insertion of needle into vein for collection of blood sample	15	15	$16.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	90	$65.30	$54.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	42	$126.00	$83.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$127.00	$81.16
27447 Replacement of knee joint, both sides of knee	26	25	$3935.96	$1442.20
27130 Replacement of thigh bone and hip joint with prosthesis	21	19	$3790.71	$1472.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$275.55	$133.63
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$269.00	$106.97
20610 Aspiration and/or injection of fluid from large joint	12	11	$181.00	$47.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	124	$86.85	$53.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	59	$202.82	$81.19
27447 Replacement of knee joint, both sides of knee	35	34	$3955.71	$1393.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$143.20	$75.34
27130 Replacement of thigh bone and hip joint with prosthesis	29	28	$3934.63	$1436.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$284.00	$135.15
20610 Aspiration and/or injection of fluid from large joint	20	17	$167.20	$46.36
36415 Insertion of needle into vein for collection of blood sample	11	11	$14.36	$2.74

Medical Specialties & State Licenses

CMS Verified: 2024-05-20

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WA MD60078358

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare

P01065145 (WA)

Hospital & Practice Group Affiliations

The Association Of University Physicians

1959 Ne Pacific St, Seattle, WA 981950001

Phone: 2065984333

Secondary Practice Locations

1100 9th Ave

Seattle, WA 981012756

Phone: 2062237530

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Sandhya Panch , MD

Internal Medicine - Hematology

NPI 1003043415

Doctor of Medicine (M.D.)

Hilary King , MA, RC

Counselor - Mental Health

NPI 1003068735

Master of Arts, RC

Dr. Afshin Shameli , MD, PhD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003104357

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Timothy Menza , MD, PhD

Internal Medicine - Infectious Disease

NPI 1003105891

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Maria Corcorran , MD

Internal Medicine

NPI 1003159013

Doctor of Medicine (M.D.)

Dr. Justin Miller , PhD

Psychologist - Clinical

NPI 1003162314

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location May 20, 2024

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981952756 (Tel: 2065205000)

📍

Updated Business Mailing Address May 20, 2024

Registered at PO BOX 50095, SEATTLE, WA 981455095 (Tel: 2065205700)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2024

Orthopaedic Surgery (License #MD60078358 in WA)

✅

NPI Profile Active April 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 09, 2015

Registered at 1100 9TH AVE, SEATTLE, WA 981012756 (Tel: 2062237530)

📍

Updated Business Mailing Address April 09, 2015

Registered at 1100 9TH AVE, SEATTLE, WA 981012756 (Tel: 2065155811)

👤

Provider Name / Credentials Updated April 09, 2015

Recorded as KEVIN MACDONALD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2015

Orthopaedic Surgery (License #MD60078358 in WA)

🟢

Initial NPI Registration & Enumeration May 09, 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: 1831148600

Entity Type:

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

Enumeration Date: May 09, 2006

Last Update: May 20, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 50095

Seattle, WA 981455095

Phone: 2065205700

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.