DR. NICHOLAS MCDONALD (M.D.) – Diagnostic Radiology Physician, NPI 1619202744

DR. NICHOLAS MCDONALD (M.D.) is a healthcare provider. based in Gallipolis, Ohio. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 35.099444 (OH). The NPI Number for DR. NICHOLAS MCDONALD (M.D.) is 1619202744

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS MCDONALD (M.D.)
NPI
1619202744
Phone
(740) 446-5000
Address
100 JACKSON PIKE
Enumeration Date
7 October 2009
Last Update Date
15 May 2024

Doctor Profile

Medical School Name
CINCINNATI COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
3046754498
Graduation Year
2009 (17 years ago)
PAC ID
8022258847
Group Practice PAC ID
5890606008
Professional Enrollment ID
I20240711001169
Address ID
WV255501615PO2605XAVEX300

Contacts

Secure Messaging
nicholas.mcdonald1@17389.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

1,805 DIAGNOSTIC RADIOLOGY in OH

Provider Addresses for DR. NICHOLAS MCDONALD (M.D.)

  • 100 JACKSON PIKE

    GALLIPOLIS, OH 456311560

    Phone: (740) 446-5000

    Fax: (740) 446-5697

    Type: Location

  • 17273 State Route 104

    Chillicothe, OH 456019718

    Phone: (740) 773-1141

    Type: Location

  • SR 104, Chillicothe, Ross County, Ohio, 45601, United States

    CHILLICOTHE, OH 456019718

    Phone: (740) 773-1141

    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: 2024-07-11

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
I20240510001489IDiagnostic RadiologyOHTBD
I20240711001169IDiagnostic RadiologyWVTBD

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 45631)

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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: 5890606008View full group profile

Reviews

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Frequently asked questions

How do I look up DR. NICHOLAS MCDONALD (M.D.) by NPI?
Use NPI 1619202744 when you need to reference DR. NICHOLAS MCDONALD (M.D.) in forms, claims, or directories.
Is DR. NICHOLAS MCDONALD (M.D.) currently active in the NPI registry?
CMS-published data lists DR. NICHOLAS MCDONALD (M.D.) as an active registrant.
Does DR. NICHOLAS MCDONALD (M.D.) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DR. NICHOLAS MCDONALD (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. NICHOLAS MCDONALD (M.D.)?
The page summarizes Gallipolis, Ohio for DR. NICHOLAS MCDONALD (M.D.); expand the address list for detail.
Is DR. NICHOLAS MCDONALD (M.D.) a real provider?
This page reflects official NPPES data for NPI 1619202744. Always confirm identity and privileges with the practice and licensing boards.

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