Active NPI 1275504045 Individual Practitioner Male Practitioner

Dr. Michael D Mcdonald , MD

Orthopaedic Surgery • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mcdonald, MD is a certified Orthopaedic Surgery practicing in Spokane, WA. With approximately 32 years of clinical experience since graduating from University Of Utah School Of Medicine in 1994, Dr. Mcdonald delivers high-quality medical care to the local community at 601 W 5TH AVE STE 500.

Dr. Mcdonald is affiliated with Northwest Orthopaedic Specialists Ps and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, x-ray of shoulder, minimum of 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

601 W 5th Ave Ste 500

Spokane, WA 992042756

Telephone 5093448672

Fax 5097477838

Associated Practice Facility / Clinic

🏢 Northwest Orthopaedic Specialists, P.s. Facility NPI 1265401202

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Spokane, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +10.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

49 Specialists

Practicing in Spokane, WA (707 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcdonald (32 Years) 32 Yrs

Spokane Specialty Average (22.0 Years) 22.0 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
J1010 Injection, methylprednisolone acetate, 1 mg	1,280	17	$0.50	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	169	137	$213.40	$88.22
73030 X-ray of shoulder, minimum of 2 views	76	59	$81.72	$33.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	65	$305.44	$125.09
73502 X-ray of hip, 2-3 views	66	47	$110.36	$45.06
73562 X-ray of knee, 3 views	60	54	$96.35	$39.75
20610 Aspiration and/or injection of fluid from large joint	51	38	$209.31	$70.35
27447 Replacement of knee joint, both sides of knee	40	39	$3185.00	$1223.06
77077 X-ray of joints, multiple	29	29	$112.00	$44.65
27130 Replacement of thigh bone and hip joint with prosthesis	28	27	$3188.00	$1213.86
23472 Prosthetic repair of shoulder joint, total shoulder	25	25	$3465.36	$1360.25
73564 X-ray of knee, 4 or more views	17	13	$110.00	$47.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$440.00	$155.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$130.20	$52.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$264.69	$93.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$428.00	$179.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	180	154	$176.00	$89.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	105	$250.00	$126.33
73030 X-ray of shoulder, minimum of 2 views	81	60	$74.10	$35.00
73502 X-ray of hip, 2-3 views	67	52	$96.97	$45.80
20610 Aspiration and/or injection of fluid from large joint	60	51	$178.42	$67.18
73562 X-ray of knee, 3 views	49	43	$84.00	$39.83
J1040 Injection, methylprednisolone acetate, 80 mg	44	39	$24.00	$11.58
27130 Replacement of thigh bone and hip joint with prosthesis	36	34	$3188.00	$1265.71
27447 Replacement of knee joint, both sides of knee	36	34	$3185.00	$1215.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$249.00	$108.80
73564 X-ray of knee, 4 or more views	26	22	$98.54	$47.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$348.00	$178.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$112.00	$56.58
23472 Prosthetic repair of shoulder joint, total shoulder	23	23	$3420.00	$1425.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$379.00	$165.65
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$415.08	$167.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	149	124	$174.93	$89.35
73030 X-ray of shoulder, minimum of 2 views	113	80	$70.00	$35.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	103	$249.76	$125.43
20610 Aspiration and/or injection of fluid from large joint	59	47	$160.12	$68.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	45	$109.41	$56.78
73502 X-ray of hip, 2-3 views	43	29	$96.02	$45.20
73562 X-ray of knee, 3 views	42	35	$83.00	$42.00
J1040 Injection, methylprednisolone acetate, 80 mg	38	30	$23.47	$10.59
23472 Prosthetic repair of shoulder joint, total shoulder	33	32	$3420.00	$1416.72
27447 Replacement of knee joint, both sides of knee	29	29	$3185.00	$1271.33
73564 X-ray of knee, 4 or more views	22	19	$92.00	$47.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$346.67	$180.75
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$3188.00	$1225.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$249.00	$111.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$379.00	$166.57
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$2473.00	$1071.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	197	155	$168.41	$91.31
73030 X-ray of shoulder, minimum of 2 views	119	80	$71.59	$34.58
20610 Aspiration and/or injection of fluid from large joint	96	60	$165.77	$66.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	76	$248.17	$128.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	61	$101.35	$56.96
J1040 Injection, methylprednisolone acetate, 80 mg	54	41	$18.15	$10.47
73502 X-ray of hip, 2-3 views	40	29	$96.85	$46.99
73562 X-ray of knee, 3 views	36	30	$86.03	$41.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$333.25	$176.36
73564 X-ray of knee, 4 or more views	24	17	$101.08	$47.20
23472 Prosthetic repair of shoulder joint, total shoulder	20	20	$3420.00	$1461.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$249.00	$113.35
27447 Replacement of knee joint, both sides of knee	14	13	$3046.64	$1110.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$380.62	$169.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	247	192	$178.00	$75.67
73030 X-ray of shoulder, minimum of 2 views	92	65	$87.00	$33.51
20610 Aspiration and/or injection of fluid from large joint	87	57	$250.00	$59.99
73502 X-ray of hip, 2-3 views	81	54	$130.00	$43.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	59	$262.00	$109.99
73562 X-ray of knee, 3 views	56	44	$96.00	$39.56
J1040 Injection, methylprednisolone acetate, 80 mg	55	48	$20.00	$11.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	48	$108.00	$46.19
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	24	$130.00	$54.60
27447 Replacement of knee joint, both sides of knee	27	27	$4991.00	$1403.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$263.00	$108.83
73564 X-ray of knee, 4 or more views	26	21	$109.00	$45.00
23472 Prosthetic repair of shoulder joint, total shoulder	21	21	$4963.43	$1502.64
27130 Replacement of thigh bone and hip joint with prosthesis	14	13	$4670.00	$1405.08
29827 Repair of shoulder rotator cuff using an endoscope	13	13	$3486.00	$1024.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	334	236	$178.00	$73.98
73030 X-ray of shoulder, minimum of 2 views	108	78	$87.00	$29.60
20610 Aspiration and/or injection of fluid from large joint	95	78	$250.00	$59.35
73502 X-ray of hip, 2-3 views	79	50	$130.00	$38.75
J1040 Injection, methylprednisolone acetate, 80 mg	77	67	$20.00	$11.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	57	$262.00	$108.96
73562 X-ray of knee, 3 views	56	49	$96.00	$35.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	45	$108.00	$44.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$263.00	$108.59
73564 X-ray of knee, 4 or more views	31	28	$105.48	$40.87
27447 Replacement of knee joint, both sides of knee	28	26	$5080.14	$1339.82
23472 Prosthetic repair of shoulder joint, total shoulder	26	26	$4848.00	$1439.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	23	$130.00	$53.36
29827 Repair of shoulder rotator cuff using an endoscope	19	19	$3486.00	$1073.44
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	17	$390.00	$178.49
27130 Replacement of thigh bone and hip joint with prosthesis	16	15	$4670.00	$1378.81
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$244.00	$101.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	384	257	$159.09	$72.85
J1040 Injection, methylprednisolone acetate, 80 mg	110	85	$20.00	$12.91
20610 Aspiration and/or injection of fluid from large joint	99	83	$270.20	$62.15
73030 X-ray of shoulder, minimum of 2 views	86	66	$87.00	$28.19
73502 X-ray of hip, 2-3 views	53	41	$130.00	$40.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	45	$92.67	$43.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$333.96	$107.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$235.08	$108.08
73562 X-ray of knee, 3 views	34	30	$96.00	$35.29
27447 Replacement of knee joint, both sides of knee	32	32	$4991.00	$1346.92
73564 X-ray of knee, 4 or more views	29	23	$109.00	$40.01
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	22	$130.00	$54.02
29827 Repair of shoulder rotator cuff using an endoscope	21	21	$3486.00	$1071.84
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$4670.00	$1378.73
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$390.00	$178.88
23472 Prosthetic repair of shoulder joint, total shoulder	17	17	$4848.00	$1479.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$309.94	$136.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$359.09	$165.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	339	239	$145.00	$70.70
20610 Aspiration and/or injection of fluid from large joint	104	84	$288.46	$63.13
J1040 Injection, methylprednisolone acetate, 80 mg	103	79	$20.00	$11.05
73030 X-ray of shoulder, minimum of 2 views	90	62	$87.00	$28.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	76	$85.00	$42.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$242.25	$104.05
73502 X-ray of hip, 2-3 views	52	42	$130.00	$39.88
73562 X-ray of knee, 3 views	46	37	$96.00	$35.33
27447 Replacement of knee joint, both sides of knee	29	29	$4991.00	$1321.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$211.00	$104.86
27130 Replacement of thigh bone and hip joint with prosthesis	21	21	$4670.00	$1273.18
73564 X-ray of knee, 4 or more views	18	17	$109.00	$39.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$299.00	$132.70
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$4848.00	$1420.10
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$390.00	$171.54

Medical Specialties & State Licenses

CMS Verified: 2024-12-06

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WA MD 60037531

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.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License MN 38725

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

009316500 (MN)

Medicaid State Provider ID

808232500 (ID)

Medicaid State Provider ID

8529281 (WA)

Hospital & Practice Group Affiliations

Northwest Orthopaedic Specialists Ps

601 W 5th Ave, Spokane, WA 992042715

Phone: 5093442663

Northwest Orthopaedic Specialists Ps

1593 E Polston Ave, Post Falls, ID 838545326

Phone: 5092523959

Practice Associates & Co-Workers

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

4 Associated Practitioners

Michael Dieter , PA-C

Physician Assistant

NPI 1134198054

Physician Assistant (Certified)

Ashley Leimgruber , DNAP

Nurse Anesthetist, Certified Registered

NPI 1659859056

Kristin Hood , RN

Registered Nurse - Registered Nurse First Assistant

NPI 1811128770

Registered Nurse

Tamara Brining , PA

Physician Assistant

NPI 1962646273

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 06, 2024

Registered at 601 W 5TH AVE STE 500, SPOKANE, WA 992042756 (Tel: 5093448672)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2024

Orthopaedic Surgery (License #38725 in MN)

✅

NPI Profile Active January 23, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2009

Registered at 601 W 5TH AVE, SUITE 400, SPOKANE, WA 992042715 (Tel: 5093442663)

📍

Updated Business Mailing Address January 23, 2009

Registered at 601 W 5TH AVE STE 400, SPOKANE, WA 992042715 (Tel: 5093442663)

👤

Provider Name / Credentials Updated January 23, 2009

Recorded as MICHAEL MCDONALD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2009

Orthopaedic Surgery (License #MD 60037531 in WA)

🟢

Initial NPI Registration & Enumeration January 30, 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: 1275504045

Entity Type:

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

Enumeration Date: January 30, 2006

Last Update: December 06, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

601 W 5th Ave Ste 400

Spokane, WA 992042715

Phone: 5093442663

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.