JOHN R MCDONALD (MD) – Diagnostic Radiology Physician, NPI 1124007083

JOHN R MCDONALD (MD) is a healthcare provider. based in Lakewood, Colorado. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY, NUCLEAR MEDICINE. They hold the professional credentials MD. They hold a License No. 36114 (CO). The NPI Number for JOHN R MCDONALD (MD) is 1124007083

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
JOHN R MCDONALD (MD)
NPI
1124007083
Phone
(303) 914-8800
Address
1746 COLE BLVD STE 150
Enumeration Date
10 January 2006
Last Update Date
13 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7208480000
Graduation Year
1992 (34 years ago)
PAC ID
7911890082
Group Practice PAC ID
3476465667
Professional Enrollment ID
I20040203000811
Address ID
CO800452545AU12605AVEX413
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

927 DIAGNOSTIC RADIOLOGY in CO

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Provider Addresses for JOHN R MCDONALD (MD)

  • Cole Blvd, Lakewood, Jefferson County, Colorado, 80401-4015, United States

    LAKEWOOD, CO 804013267

    Phone: (303) 914-8800

    Fax: (303) 716-3777

    Type: Location

  • 1746 Cole Blvd Ste 150

    Lakewood, CO 804013267

    Phone: (303) 914-8800

    Fax: (303) 716-3777

    Type: Location

  • 12605 E 16TH AVE

    AURORA, CO 800452545

    Phone: (720) 848-0000

    Type: Location

  • PO BOX 110429

    AURORA, CO 800420429

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040203000811IDiagnostic RadiologyCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77063Screening 3d breast mammography1,0301,030$0
77067Screening mammography1,0301,030$0
View full utilization report →

Insurance plans in this area (ZIP 80401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476465667View full group profile
NameSpecialtyState
-CO
Family PracticeCO
Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
Emergency MedicineCO
Emergency MedicineCO
-CO
-CO
Emergency MedicineCO
-CO
-CO

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Frequently asked questions

What NPI should I save for JOHN R MCDONALD (MD)?
Save NPI 1124007083 if you need a stable reference for JOHN R MCDONALD (MD).
Is JOHN R MCDONALD (MD)'s NPI currently valid?
The extract we use shows JOHN R MCDONALD (MD) as active.
Does JOHN R MCDONALD (MD) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for JOHN R MCDONALD (MD). Clinical services aligned with this taxonomy classification.
Where does public data place JOHN R MCDONALD (MD)?
The snapshot lists Lakewood, Colorado for JOHN R MCDONALD (MD); download NPPES for the complete set.
Is JOHN R MCDONALD (MD) a real provider?
This page reflects official NPPES data for NPI 1124007083. Always confirm identity and privileges with the practice and licensing boards.

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