SCOTT MACDONALD, DO
Orthopaedic Surgery Physician · JOHNSON CITY, TN
Individual Active NPI 1891041489
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 347 | 1,360 | $512,731 | $179,397 | $137,163 |
| 2023 | 324 | 1,310 | $388,833 | $151,117 | $116,103 |
| 2022 | 344 | 1,268 | $447,039 | $176,934 | $135,747 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 322 | $115 | $81 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 161 | $34 | $24 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 110 | $0 | $0 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 106 | $81 | $57 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 90 | $7 | $6 |
| 72040 | X-ray of upper spine, 2-3 views | 66 | $35 | $24 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 60 | $144 | $100 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 43 | $216 | $173 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 42 | $1 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 33 | $11 | $9 |
| 73502 | X-ray of hip, 2-3 views | 26 | $38 | $27 |
| 72148 | Mri scan of lower spinal canal without contrast | 24 | $96 | $78 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | 3332 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.