DR. KELLY COLLEEN MCDONALD (M.D.) – Family Medicine Physician, NPI 1073572624

DR. KELLY COLLEEN MCDONALD (M.D.) is a healthcare provider. based in Brenham, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 01054990A (IN). The NPI Number for DR. KELLY COLLEEN MCDONALD (M.D.) is 1073572624

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY COLLEEN MCDONALD (M.D.)
NPI
1073572624
Phone
(979) 830-5584
Address
110 HIGHWAY 290 W
Enumeration Date
22 March 2006
Last Update Date
12 August 2015

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
8123196904
Group Practice PAC ID
5294727921
Professional Enrollment ID
I20150130002281
Address ID
TX778022544BR2801XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DR. KELLY COLLEEN MCDONALD (M.D.)

  • St Joseph Health Primary Care Brenham, 110, US Highway 290 West, Brenham, Washington County, Texas, 77833, United States

    BRENHAM, TX 778339165

    Phone: (979) 830-5584

    Fax: (979) 277-7100

    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: 2015-01-30

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
I20150130002281IFamily PracticeTXTBD

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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit252252$0
99214Established patient office or other outpatient visit, 30-39 minutes249150$0
99213Established patient office or other outpatient visit, 20-29 minutes224152$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use8888$0
G0009Administration of pneumococcal vaccine8888$0
View full utilization report →

Insurance plans in this area (ZIP 77833)

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Provider's Procedures

DR. KELLY COLLEEN MCDONALD (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX85610Blood test, clotting time14225
FAMILY MEDICINETX90670Pneumococcal vaccine for injection into muscle4949

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: 5294727921View full group profile
NameSpecialtyState
-TX
-TX
Internal Medicine, Internal Medicine, HospitalistLA
Physician AssistantMA
Hospitalist, Family PracticeTX
Pulmonary Disease, Critical Care (Intensivists)TX
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineTX
-TX
-TX
Family PracticeCO

Reviews

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Frequently asked questions

What is DR. KELLY COLLEEN MCDONALD (M.D.)'s NPI number?
DR. KELLY COLLEEN MCDONALD (M.D.)'s NPI is 1073572624 — the number used across U.S. healthcare to identify this provider.
Would DR. KELLY COLLEEN MCDONALD (M.D.) appear as active to a payer?
You can treat DR. KELLY COLLEEN MCDONALD (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. KELLY COLLEEN MCDONALD (M.D.)?
DR. KELLY COLLEEN MCDONALD (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. KELLY COLLEEN MCDONALD (M.D.) located near Brenham?
DR. KELLY COLLEEN MCDONALD (M.D.) currently maps to Brenham, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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