ROBERT JAMES MCDONALD (D.O.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1336583145
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
228 PATHOLOGY in KY
Provider Addresses for ROBERT JAMES MCDONALD (D.O.)
800 ROSE ST # MS 117
LEXINGTON, KY 405360298
Phone: (859) 323-5425
Type: Mailing
800 ROSE ST
LEXINGTON, KY 405367001
Phone: (859) 323-5425
Fax: (859) 257-7572
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $85.
Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.
Last reported payment date: 2023-03-21 • Largest payer in this snapshot: Sarepta Therapeutics, Inc. ($85).
Total Amount
$85
General + Research + Ownership
Payments
1
Total payment records
General Amount
$85
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sarepta Therapeutics, Inc. | $85 |
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: 2024-11-20
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 |
|---|---|---|---|---|
| I20190506000750 | I | Pathology | KY | TBD |
| I20241120001595 | I | Pathology | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 206 | 107 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 119 | 56 | $0 |
| 88321 | Surgical pathology consultation and report on referred slides prepared elsewhere | 75 | 75 | $0 |
| 88360 | Microscopic genetic analysis of tumor, manual | 58 | 35 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 52 | 26 | $0 |
Insurance plans in this area (ZIP 40536)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| Nurse Practitioner | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | IN | |
| P A T H O L O G Y | IN | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | OK |
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