MR. DAVID M. MCDONALD (PA-C) – Surgical Physician Assistant, NPI 1710280144

MR. DAVID M. MCDONALD (PA-C) is a healthcare provider. based in Pocatello, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 4780 (AZ). The NPI Number for MR. DAVID M. MCDONALD (PA-C) is 1710280144

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID M. MCDONALD (PA-C)
NPI
1710280144
Phone
(435) 213-0743
Address
777 HOSPITAL WAY
Enumeration Date
7 December 2010
Last Update Date
6 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
9537338660
Professional Enrollment ID
I20130118000078
Address ID
ID832761559SO300XX3RDX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

Provider Addresses for MR. DAVID M. MCDONALD (PA-C)

  • 777 HOSPITAL WAY

    POCATELLO, ID 832015175

    Phone: (435) 213-0743

    Fax: (208) 239-3754

    Mailing address matches the actual address.

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: 2013-01-18

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
I20130118000078IPhysician AssistantIDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83201)

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Reviews

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Frequently asked questions

How is MR. DAVID M. MCDONALD (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MR. DAVID M. MCDONALD (PA-C) with NPI 1710280144.
Does CMS list MR. DAVID M. MCDONALD (PA-C) as active?
Yes — MR. DAVID M. MCDONALD (PA-C) is active in the NPI listing used on this page.
What healthcare role does MR. DAVID M. MCDONALD (PA-C) hold?
Scheduling teams often label MR. DAVID M. MCDONALD (PA-C) under Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MR. DAVID M. MCDONALD (PA-C) on a map?
Expect Pocatello, Idaho as a primary anchor for MR. DAVID M. MCDONALD (PA-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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