Dr. Michael R. MacDonald, MD

  • Oakland, CA
  • Facial plastic surgery physician
NPI1427196625PAC ID1153400593
Medicare services, 2021
20
Medicare patients, 2024
18
Part D claims, 2024
48
MIPS score, 2024
95
Hospital affiliations
1
Practice address
1411 East 31st Street, Oakland, CA 94602
Practice phone
Call (510) 437-4800
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Alameda Health System - Highland Hospital

Hospital · Oakland, California

See all 3 affiliations

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Dr. Michael R. MacDonald is a facial plastic surgery physician in Oakland, California

Dr. MacDonald practices at Alameda Health System - Highland Hospital in Oakland, California, part of Alameda County.

Dr. MacDonald's NPI, 1427196625, was assigned on February 1, 2007. Dr. MacDonald graduated from Queen's University at Kingston in 1988. Dr. MacDonald holds California license A53976.

NPI and contact details
Medicare PAC ID
1153400593
NPI enumeration date
February 1, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(510) 437-4800
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
64
Medical school graduation
1988

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Michael R. MacDonald practices at Alameda Health System - Highland Hospital in Oakland, California

Dr. MacDonald's primary practice is Alameda Health System - Highland Hospital, at 1411 East 31st Street, Oakland, CA 94602 in Alameda County. The practice phone is (510) 437-4800.

Source: Dmand AI Affiliation Data

Dr. Michael R. MacDonald is affiliated with 2 sites of care and 1 medical group

Dr. MacDonald's primary practice is Alameda Health System - Highland Hospital in Oakland, California, part of Alameda County. The medical group on file is Alameda Health System. Dmand AI also links Dr. MacDonald to 1 more community health center, named with a free account. Dr. MacDonald's employer is on file too: a hospital.

See all 3 affiliations for Dr. MacDonald

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Michael R. MacDonald's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. MacDonald practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Alameda Health System - Highland HospitalAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Michael R. MacDonald is one of 108 facial plastic surgery physicians in California

Facial plastic surgery is Dr. MacDonald's primary specialty in the NPI Registry, under taxonomy code 207YS0123X. Dr. MacDonald is board certified in otolaryngology by the American Board of Otolaryngology - Head and Neck Surgery. Dr. MacDonald is licensed in California.

Specialties and state licenses

  • Facial plastic surgery, CaliforniaPrimaryLicense A53976 · 1995 to 2027 · taxonomy 207YS0123X

Clinical focus

Dmand AI lists swimmer's ear, thyroid surgery and vertigo among the conditions Dr. MacDonald treats.

Facial plastic surgery physicians near Dr. MacDonald

Counts of facial plastic surgery physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Michael R. MacDonald billed Medicare for 20 services in 2021

CMS data shows 20 Medicare services from Dr. MacDonald across 1 procedure code in 2021, all of them office visits, for 18 Medicare patients. Medicare paid $839 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 202120
Medicare patients18
Paid by Medicare$839
Procedure codes1

Dr. MacDonald's Medicare services by type, 2020 to 2021

  • 2020
  • 2021
Office and hospital visits
2020: 422021: 2052%

Dr. MacDonald compared with the California median for facial plastic surgery physicians, 2021

  • Dr. MacDonald
  • California median
Medicare services
20vs 35994% below
Medicare patients
18vs 19791% below
Part D claims
11vs 4374% below

Medians across 85 facial plastic surgery physicians in California with Dmand AI profiles that report each measure.

Dr. MacDonald's most billed Medicare procedure codes, 2021

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. MacDonald

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Michael R. MacDonald treated 18 Medicare patients in 2024, average age 66

CMS counts 18 Medicare patients who saw Dr. MacDonald in 2024. 75% of them have high blood pressure. Their average risk score is 2.55, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. MacDonald's median patient age at 52, with 61% women.

Medicare patients, 202418
Average age66
Average risk score2.55

Chronic conditions among Dr. MacDonald's Medicare patients, 2024

  1. High blood pressure75%

Share of Medicare patients with each condition. A patient can have several.

Dr. MacDonald's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 52

Patient panel by sex, all payers

  • Women61%
  • Men38%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Michael R. MacDonald wrote 48 Medicare Part D claims in 2024

In 2024, Dr. MacDonald wrote 48 Medicare Part D claims for 20 patients. 96% of them were for generic drugs. CMS names the drug for 11 of them, across 1 drug with 11 or more claims each, at $165 in total drug cost. In 2023, CMS named 13 claims across 1 drug.

Part D claims, 202448
Drugs named by CMS1
Total drug cost$165
Part D patients20

Dr. MacDonald's Part D claims by kind of drug, 2024

  • Generic46 claims96%
  • Brand-name and other2 claims4%

Dr. MacDonald's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 132024: 1115%

Drugs named by CMS: 1 in 2024, 1 in 2023.

See all prescribing by Dr. MacDonald

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Michael R. MacDonald scored 95 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 95 out of 100 for Dr. MacDonald for performance year 2024, reported as part of a group. Dr. MacDonald accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. MacDonald's MIPS scores, performance year 2024

  • 95of 100Final score
  • 86.9of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 73of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Upper gastrointestinal (GI) endoscopy for acid reflux: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Michael R. MacDonald received $13,766 in industry payments from 2016 to 2025

CMS Open Payments shows 150 general payments to Dr. MacDonald from 13 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 62% of the total. Stryker Corporation paid the most, $7,250.

General payments to Dr. MacDonald by program year, 2016 to 2025

General payments to Dr. MacDonald by kind, 2016 to 2025

$13.8Kin total
  • Food and beverage$8,50362%
  • Travel and lodging$4,36432%
  • Speaker and faculty fees$9007%

Companies that paid Dr. MacDonald the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. MacDonald

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Michael R. MacDonald graduated from Queen's University at Kingston

Dr. MacDonald graduated from Queen's University at Kingston in 1988.

  1. Medical schoolQueen's University at Kingston
  2. Board certified in otolaryngologyAmerican Board of Otolaryngology - Head and Neck Surgery

Source: Dmand AI Professional Profile Data

Dr. Michael R. MacDonald accepts plans from 15 insurance carriers

Dr. MacDonald is in network with 15 carriers, including Elevance, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

  • Elevance
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Aetna
  • HCSC
  • Alliant Health Plans
  • Blue Cross Blue Shield of Massachusetts
  • Regence Health Plans
  • +7 more carriersWith a free account

Plan types Dr. MacDonald accepts, by number of carriers

  1. PPO10
  2. Medicare8
  3. HMO6
  4. POS5
  5. EPO3

Source: Dmand AI Insurance Network Data

Sources for Dr. Michael R. MacDonald's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Michael R. MacDonald

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Michael R. MacDonald's NPI number?

Dr. Michael R. MacDonald's NPI number is 1427196625. It was assigned on February 1, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. Michael R. MacDonald?

Dr. Michael R. MacDonald is a facial plastic surgery physician in Oakland, California. The primary specialty in the NPI Registry is Facial Plastic Surgery Physician (taxonomy code 207YS0123X).

Where does Dr. Michael R. MacDonald practice?

Dr. MacDonald practices at 1411 East 31st Street, Oakland, CA 94602. Dr. MacDonald's primary practice is Alameda Health System - Highland Hospital in Oakland, California, part of Alameda County. Dmand AI also links Dr. MacDonald to 1 community health center.

What is Dr. Michael R. MacDonald's office phone number?

The practice phone on file for Dr. MacDonald is (510) 437-4800.

What is Dr. Michael R. MacDonald's medical license number?

Dr. MacDonald holds California license A53976.

Which hospitals is Dr. Michael R. MacDonald affiliated with?

Dr. MacDonald practices at Alameda Health System - Highland Hospital in Oakland, California.

What medical group is Dr. Michael R. MacDonald part of?

Dr. MacDonald is linked to Alameda Health System.

Does Dr. Michael R. MacDonald accept Medicare?

Yes. CMS data shows Dr. MacDonald billed Medicare for 20 services in 2021, and Dr. MacDonald accepts Medicare assignment.

What is Dr. Michael R. MacDonald's MIPS score?

Dr. MacDonald's MIPS final score for performance year 2024 is 95 out of 100, reported as part of a group.

How many Medicare patients does Dr. Michael R. MacDonald see?

CMS counts 18 Medicare patients who saw Dr. MacDonald in 2024, with an average age of 66.

Show 7 more questionsShow fewer questions

Is Dr. Michael R. MacDonald board certified?

Yes. Dr. MacDonald is board certified in otolaryngology by the American Board of Otolaryngology - Head and Neck Surgery.

What services does Dr. Michael R. MacDonald bill to Medicare?

In 2021, Dr. MacDonald's most billed Medicare services were office visit, established patient (99213).

Where did Dr. Michael R. MacDonald go to medical school?

Dr. MacDonald graduated from Queen's University at Kingston in 1988.

What drugs does Dr. Michael R. MacDonald prescribe most?

In 2024 Medicare Part D data, Dr. MacDonald's most prescribed drugs by claims were Fluticasone Propionate.

Has Dr. Michael R. MacDonald received payments from drug or device companies?

CMS Open Payments shows $13,766 in general payments to Dr. MacDonald from 13 companies from 2016 to 2025. The largest total came from Stryker Corporation.

How long has Dr. Michael R. MacDonald been practicing?

Dr. MacDonald graduated from medical school in 1988, 38 years ago.

What insurance does Dr. Michael R. MacDonald accept?

Dr. MacDonald is in network with 15 carriers, including Elevance, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

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