TIMOTHY PAUL MCDONALD (PA C) – Physician Assistant, NPI 1194798900

TIMOTHY PAUL MCDONALD (PA C) is a healthcare provider. based in Bloomington, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. 10053 (MN). The NPI Number for TIMOTHY PAUL MCDONALD (PA C) is 1194798900

Main info

Male
22 Years Of Experience
Name
TIMOTHY PAUL MCDONALD (PA C)
NPI
1194798900
Phone
(952) 835-9880
Address
4300 MARKETPOINTE DR STE 100
Enumeration Date
10 February 2006
Last Update Date
17 November 2025

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9529311276
Graduation Year
2004 (22 years ago)
PAC ID
8426019480
Group Practice PAC ID
8729461421
Professional Enrollment ID
I20051107000929
Address ID
MN553437226HO415XXNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for TIMOTHY PAUL MCDONALD (PA C)

  • 4300 MARKETPOINTE DR STE 100

    BLOOMINGTON, MN 554355435

    Phone: (952) 835-9880

    Fax: (952) 835-4403

    Type: Mailing

  • Saint Cloud Hospital, 1406, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States

    SAINT CLOUD, MN 563031900

    Phone: (320) 255-5657

    Type: Mailing

  • Saint Cloud Hospital, 1406, 6th Avenue North, Saint Cloud, Stearns County, Minnesota, 56303, United States

    ST CLOUD, MN 563031901

    Phone: (320) 255-5657

    Fax: (320) 656-7194

    Type: Location

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: 2005-11-07

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
I20051107000929IPhysician AssistantMNTBD

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
99284Emergency department visit with moderate level of medical decision making9289$0
99285Emergency department visit with high level of medical decision making8783$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5752$0
99283Emergency department visit with low level of medical decision making2420$0
99291Critical care, first 30-74 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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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: 8729461421View full group profile
NameSpecialtyState
Emergency MedicineMN
Physician AssistantMN
Physician AssistantMN
Physician AssistantMN
Physician AssistantWI
Physician AssistantMN
Physician AssistantMN
Physician AssistantVA
Physician AssistantMN
Physician AssistantMN

Reviews

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Frequently asked questions

Can I use this page to confirm TIMOTHY PAUL MCDONALD (PA C)'s NPI?
Yes. TIMOTHY PAUL MCDONALD (PA C) is listed with NPI 1194798900 in the public NPI dataset.
Is TIMOTHY PAUL MCDONALD (PA C) still practicing?
TIMOTHY PAUL MCDONALD (PA C) is currently listed as active in the public NPI registry.
What is TIMOTHY PAUL MCDONALD (PA C)'s specialty?
The listing groups TIMOTHY PAUL MCDONALD (PA C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for TIMOTHY PAUL MCDONALD (PA C)?
TIMOTHY PAUL MCDONALD (PA C)'s geographic hint is Bloomington, Minnesota in our summary view.
Is the information about TIMOTHY PAUL MCDONALD (PA C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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