DR. JEROME MICHAEL MCDONALD (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1740253301
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
489 THORACIC SURGERY in CA
Provider Addresses for DR. JEROME MICHAEL MCDONALD (MD)
1901 N CALIFORNIA ST
STOCKTON, CA 952046005
Phone: (209) 946-6800
Fax: (209) 946-6805
Type: Location
3400 DATA DR
ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT
RANCHO CORDOVA, CA 95670
Phone:
Type: Mailing
Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
9040 REID ST.
TACOMA, WA 984310001
Phone: (253) 968-3251
Fax: (253) 968-5900
Type: Location
10313, Interlaaken Drive Southwest, Lakewood, Pierce County, Washington, 98498, United States
LAKEWOOD, WA 984985642
Phone: (253) 588-5448
Fax: (253) 968-5900
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $2,556.
Total Amount is formed as General ($2,556) + Research ($0) + Ownership ($0) = $2,556.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Artivion, Inc. ($1,319).
Total Amount
$2,556
General + Research + Ownership
Payments
40
Total payment records
General Amount
$2,556
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Artivion, Inc. | $1,319 |
| Medtronic, Inc. | $569 |
| Edwards Lifesciences Corporation | $405 |
| ATRICURE, INC. | $126 |
| Zimmer Biomet Holdings, Inc. | $89 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070608000402 | I | Thoracic Surgery | CA | TBD |
| I20251125002038 | I | Thoracic Surgery | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | AL | |
| Family Practice | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AL | |
| Nurse Practitioner | AL | |
| Family Practice | ID |
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