MR. JAMES DOUGLAS II MCDONALD (CRNA,MSN,BSN) – Certified Registered Nurse Anesthetist, NPI 1174501480

MR. JAMES DOUGLAS II MCDONALD (CRNA,MSN,BSN) is a healthcare provider. based in Canyon lake, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA,MSN,BSN. They hold a License No. 730473 (TX). The NPI Number for MR. JAMES DOUGLAS II MCDONALD (CRNA,MSN,BSN) is 1174501480

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES DOUGLAS II MCDONALD (CRNA,MSN,BSN)
NPI
1174501480
Phone
(210) 289-5019
Address
1055 KINGS COVE DR
Enumeration Date
6 January 2006
Last Update Date
21 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106141234
Graduation Year
2004 (22 years ago)
PAC ID
8729181383
Group Practice PAC ID
4789845363
Professional Enrollment ID
I20070320000273
Address ID
TX782294463SA5223XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

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Provider Addresses for MR. JAMES DOUGLAS II MCDONALD (CRNA,MSN,BSN)

  • 1055, Kings Cove Drive, Canyon Springs, Comal County, Texas, 78133, United States

    CANYON LAKE, TX 781335803

    Phone: (210) 289-5019

    Type: Mailing

  • Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States

    FORT SAM HOUSTON, TX 782344504

    Phone: (210) 916-8709

    Type: Location

  • 2267 LAKEVIEW DR

    CANYON LAKE, TX 781333448

    Phone: (210) 289-5019

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $552.

Total Amount is formed as General ($552) + Research ($0) + Ownership ($0) = $552.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($188).

Total Amount

$552

General + Research + Ownership

Payments

18

Total payment records

General Amount

$552

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2007-03-20

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
I20070320000273ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope216214$0
00812Anesthesia for exam of colon using an endoscope100100$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope9694$0
00813Anesthesia for procedure on small and large bowel using an endoscope8787$0
View full utilization report →

Insurance plans in this area (ZIP 78133)

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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: 4789845363View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)HI
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
-TX

Reviews

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Frequently asked questions

What unique ID ties claims to MR. JAMES DOUGLAS II MCDONALD (CRNA,MSN,BSN)?
NPI 1174501480 is assigned to MR. JAMES DOUGLAS II MCDONALD (CRNA,MSN,BSN) under the national enumeration system.
Is MR. JAMES DOUGLAS II MCDONALD (CRNA,MSN,BSN) active in the national directory?
MR. JAMES DOUGLAS II MCDONALD (CRNA,MSN,BSN)'s public NPI profile is in an active state.
What does MR. JAMES DOUGLAS II MCDONALD (CRNA,MSN,BSN) treat or focus on?
Patients typically see MR. JAMES DOUGLAS II MCDONALD (CRNA,MSN,BSN) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place MR. JAMES DOUGLAS II MCDONALD (CRNA,MSN,BSN)?
The snapshot lists Canyon Lake, Texas for MR. JAMES DOUGLAS II MCDONALD (CRNA,MSN,BSN); download NPPES for the complete set.
How can I contact MR. JAMES DOUGLAS II MCDONALD (CRNA,MSN,BSN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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