Active NPI 1548321904 Individual Practitioner Male Practitioner

Thomas L Mcdonald , PA-C MPH

Physician Assistant • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Thomas Mcdonald, PA-C MPH is a certified Physician Assistant practicing in Madison, WI. With approximately 31 years of clinical experience since completing medical education in 1995, Thomas Mcdonald delivers high-quality medical care to the local community at 752 N HIGH POINT RD.

Thomas Mcdonald is affiliated with University Of Wisconsin Medical Foundation Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

752 N High Point Rd

Madison, WI 537172236

Telephone 6088244000

Fax 6088244917

Associated Practice Facility / Clinic

🏢 Dean Health Systems, Inc. Facility NPI 1558372441

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Madison, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +19.0 yrs vs City Avg

City Avg: 12.0 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

397 Specialists

Practicing in Madison, WI (3517 Statewide)

Telehealth Adoption Rate

18.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcdonald (31 Years) 31 Yrs

Madison Specialty Average (12.0 Years) 12.0 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	182	176	$234.00	$72.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	75	$160.00	$44.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	51	$343.00	$102.49
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$254.00	$57.60
36415 Insertion of needle into vein for collection of blood sample	39	39	$37.10	$8.65
81001 Manual urinalysis test with examination using microscope, automated	36	34	$53.00	$3.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$359.00	$86.53
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	25	25	$129.00	$7.37
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$152.00	$16.20
87637 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus	12	12	$808.00	$139.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$137.00	$11.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	147	$218.49	$71.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	52	$155.30	$45.31
81001 Manual urinalysis test with examination using microscope, automated	44	43	$52.89	$3.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	40	$314.60	$102.46
36415 Insertion of needle into vein for collection of blood sample	39	39	$35.38	$8.40
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$246.40	$58.04
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	25	25	$120.60	$7.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$346.70	$88.93
87637 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus	11	11	$808.00	$139.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	234	205	$209.85	$73.19
36415 Insertion of needle into vein for collection of blood sample	52	51	$38.65	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$311.39	$101.46
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	23	23	$90.78	$7.67
81001 Manual urinalysis test with examination using microscope, automated	14	11	$45.06	$3.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	283	283	$45.31	$18.93
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	212	212	$70.99	$29.81
99213 Established patient office or other outpatient visit, typically 15 minutes	143	117	$200.71	$73.11
36415 Insertion of needle into vein for collection of blood sample	31	31	$34.87	$2.93
G0008 Administration of influenza virus vaccine	18	18	$47.00	$16.22
81001 Manual urinalysis test with examination using microscope, automated	14	13	$39.71	$3.17
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	13	13	$129.00	$66.43
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	12	12	$91.00	$7.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	91	$190.11	$60.50
36415 Insertion of needle into vein for collection of blood sample	29	29	$32.14	$2.99
G0008 Administration of influenza virus vaccine	19	19	$47.00	$16.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	17	16	$83.18	$7.74
90662 Influenza vaccine split virus, preservative free	15	15	$113.00	$60.98
81001 Manual urinalysis test with examination using microscope, automated	15	15	$36.00	$3.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	282	276	$176.00	$61.05
81001 Manual urinalysis test with examination using microscope, automated	44	42	$36.00	$3.45
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	39	13	$16.38	$0.04
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	20	20	$93.00	$16.20
36415 Insertion of needle into vein for collection of blood sample	18	18	$30.00	$2.94
94640 Inhalation treatment for airway obstruction or sputum production	15	15	$121.00	$14.74
69209 Removal of impacted ear wax by washing	11	11	$188.55	$14.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	321	315	$171.00	$59.54
81001 Manual urinalysis test with examination using microscope, automated	60	59	$36.00	$3.84
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	39	12	$16.69	$0.05
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	22	22	$93.00	$16.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	15	$70.00	$16.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$246.00	$87.95
94640 Inhalation treatment for airway obstruction or sputum production	13	12	$121.00	$15.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	185	$165.00	$59.32
81001 Manual urinalysis test with examination using microscope, automated	23	23	$36.00	$4.26
36415 Insertion of needle into vein for collection of blood sample	20	19	$30.00	$2.94
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$200.00	$59.58
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$93.00	$16.11

Medical Specialties & State Licenses

CMS Verified: 2021-08-04

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License WI 2227

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1548321904 (WI)

Hospital & Practice Group Affiliations

University Of Wisconsin Medical Foundation Inc

2402 Winnebago St, Madison, WI 537045341

Phone: 6082872770

University Of Wisconsin Medical Foundation Inc

7974 Uw Health Ct, Middleton, WI 535625531

University Of Wisconsin Medical Foundation Inc

600 Highland Ave, Madison, WI 537920001

Phone: 6082636400

University Of Wisconsin Medical Foundation Inc

7102 Mineral Point Rd, Madison, WI 537171706

Phone: 6088287603

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. David Falk , MD

Dermatology

NPI 1003868050

Doctor of Medicine (M.D.)

Dr. Julia Thorsen , MD

Allergy & Immunology

NPI 1023402153

Doctor of Medicine (M.D.)

Dr. Milton Johnson , MD

Emergency Medicine

NPI 1033153168

Doctor of Medicine (M.D.)

Sarah Oliver , PA-C

Physician Assistant

NPI 1033297262

Physician Assistant (Certified)

Dr. Grant Macaulay , MD

Internal Medicine

NPI 1053360719

Doctor of Medicine (M.D.)

Dr. Jui Haker , MD

Preventive Medicine - Occupational Medicine

NPI 1053637090

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2021

Physician Assistant

📍

Updated Practice Location May 18, 2021

Registered at 752 N HIGH POINT RD, MADISON, WI 537172236 (Tel: 6088244000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2021

Physician Assistant (License #2227 in WI)

📍

Updated Business Mailing Address December 30, 2019

Registered at 1808 W BELTLINE HWY, MADISON, WI 537132334 (Tel: 6082501497)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2019

Physician Assistant

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Physician Assistant (License #2227 in WI)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2018

Physician Assistant (License #2227 in WI)

✅

NPI Profile Active May 19, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location May 19, 2009

Registered at 7102 MINERAL POINT RD, MADISON, WI 53717 (Tel: 6088287603)

📍

Updated Business Mailing Address May 19, 2009

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

👤

Provider Name / Credentials Updated May 19, 2009

Recorded as THOMAS MCDONALD, PA-C MPH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2009

Physician Assistant (License #2227 in WI)

🟢

Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548321904

Entity Type:

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

Enumeration Date: December 12, 2006

Last Update: August 04, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1808 W Beltline Hwy

Madison, WI 537132334

Phone: 6082501497

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.