DR. DAVID WILLIAM JR. MCDERMOTT (M.D.) – Urology Physician, NPI 1720166119

DR. DAVID WILLIAM JR. MCDERMOTT (M.D.) is a healthcare provider. based in Annapolis, Maryland. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 227842 (MA). The NPI Number for DR. DAVID WILLIAM JR. MCDERMOTT (M.D.) is 1720166119

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID WILLIAM JR. MCDERMOTT (M.D.)
NPI
1720166119
Phone
(210) 823-5894
Address
1084 CARRIAGE HILL PKWY
Enumeration Date
1 November 2006
Last Update Date
6 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
2405444070
Graduation Year
2006 (20 years ago)
PAC ID
2860661493
Group Practice PAC ID
9032178918
Professional Enrollment ID
I20160122001590
Address ID
MD207162656BO4201XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

306 UROLOGY in MD

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Provider Addresses for DR. DAVID WILLIAM JR. MCDERMOTT (M.D.)

  • 1084 CARRIAGE HILL PKWY

    ANNAPOLIS, MD 214016516

    Phone: (210) 823-5894

    Type: Mailing

  • Ridgely Avenue, West Annapolis, Annapolis, Anne Arundel County, Maryland, 21401, United States

    STE 130

    ANNAPOLIS, MD 214011001

    Phone: (410) 266-8049

    Fax: (410) 266-8054

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $3,711.

Total Amount is formed as General ($3,711) + Research ($0) + Ownership ($0) = $3,711.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Astellas Pharma US Inc ($2,384).

Total Amount

$3,711

General + Research + Ownership

Payments

55

Total payment records

General Amount

$3,711

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-01-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110816000279IUrologyMDTBD
I20160122001590IUrologyDCTBD

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
87798Detection test by nucleic acid for organism, amplified probe technique2,977212$0
J9030Bcg live intravesical instillation, 1 mg2,65033$0
81002Urinalysis, manual test1,4581,188$0
51798Ultrasound measurement of bladder capacity after voiding951815$0
99214Established patient office or other outpatient visit, 30-39 minutes855724$0
View full utilization report →

Insurance plans in this area (ZIP 21401)

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Provider's Procedures

DR. DAVID WILLIAM JR. MCDERMOTT (M.D.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYMD81002Urinalysis, manual test1079902

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: 9032178918View full group profile
NameSpecialtyState
U R O L O G YMD
Diagnostic RadiologyNY
U R O L O G YMD
U R O L O G YMD
Nurse PractitionerMD
U R O L O G YMD
U R O L O G YPA
U R O L O G YMD
U R O L O G YMD
U R O L O G YMD

Reviews

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Frequently asked questions

What number should I use to identify DR. DAVID WILLIAM JR. MCDERMOTT (M.D.) for billing?
Administrative and clinical systems typically use NPI 1720166119 for DR. DAVID WILLIAM JR. MCDERMOTT (M.D.).
Is DR. DAVID WILLIAM JR. MCDERMOTT (M.D.)'s NPI status active today?
Active status means DR. DAVID WILLIAM JR. MCDERMOTT (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. DAVID WILLIAM JR. MCDERMOTT (M.D.)'s specialty?
The extract shows Urology Physician for DR. DAVID WILLIAM JR. MCDERMOTT (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. DAVID WILLIAM JR. MCDERMOTT (M.D.)?
DR. DAVID WILLIAM JR. MCDERMOTT (M.D.) is associated with Annapolis, Maryland in the same public data insurers reference.
Why is information missing for DR. DAVID WILLIAM JR. MCDERMOTT (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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