Dr. Michael K. MacDonald, MD

  • San Mateo, CA
  • Ophthalmologist
NPI1144398512
Medicare services, 2024
1,495
Medicare patients, 2024
490
Part D claims, 2024
961
MIPS score, 2024
85
Industry payments
$1,215
Practice address
50 S San Mateo Dr, San Mateo, CA 94401
Practice phone
Call (650) 348-5882
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

San Mateo Endoscopy Center

San Mateo, California

See all 5 affiliations

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Dr. Michael K. MacDonald is an ophthalmologist in San Mateo, California

Dr. MacDonald practices at San Mateo Endoscopy Center in San Mateo, California.

Dr. MacDonald's NPI, 1144398512, was assigned on December 1, 2006. Dr. MacDonald graduated from New York Medical College in 1973. Dr. MacDonald holds California license G28778.

NPI and contact details
NPI enumeration date
December 1, 2006
NPI status
Active
Practice phone
(650) 348-5882
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
79
Medical school graduation
1973

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

Dr. Michael K. MacDonald practices at San Mateo Endoscopy Center in San Mateo, California

Dr. MacDonald's primary practice is San Mateo Endoscopy Center, at 50 S San Mateo Dr, San Mateo, CA 94401 in San Mateo County. The practice phone is (650) 348-5882.

  • San Mateo Endoscopy Center
    50 S San Mateo Dr, San Mateo, CA 94401 · San Mateo CountyPhone(650) 348-5882

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Michael K. MacDonald is affiliated with 3 sites of care and 2 medical groups

Dr. MacDonald's primary practice is San Mateo Endoscopy Center in San Mateo, California. Dmand AI also links Dr. MacDonald to 2 group practices and clinics and 2 medical groups, each named with a free account.

See all 5 affiliations for Dr. MacDonald

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Michael K. 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
San Mateo Endoscopy CenterAvailable with a free account
+2 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Michael K. MacDonald is one of 2,621 ophthalmologists in California

Ophthalmology is Dr. MacDonald's primary specialty in the NPI Registry, under taxonomy code 207W00000X. Dr. MacDonald is board certified in ophthalmology by the American Board of Ophthalmology. Dmand AI has Dr. MacDonald's licenses on file in 2 states: California and Arizona.

Specialties and state licenses

  • Ophthalmology, CaliforniaPrimaryLicense G28778 · 1975 to 2027 · taxonomy 207W00000X
  • Arizona licenseSince 1978

Clinical focus

Dmand AI lists age-related macular degeneration, cataract, conjunctivitis, dry eye, eyelid inflammation, glaucoma, hereditary corneal conditions and inflammation of iris among the conditions Dr. MacDonald treats.

Ophthalmologists near Dr. MacDonald

Counts of ophthalmologists 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 K. MacDonald billed Medicare for 1,495 services in 2024

CMS data shows 1,495 Medicare services from Dr. MacDonald across 8 procedure codes in 2024, for 490 Medicare patients. Medicare paid $99,765 for them. Every service was in an office.

Medicare services, 20241,495
Medicare patients490
Paid by Medicare$99,765
Procedure codes8

Dr. MacDonald's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Tests and treatments
2023: 2,1692024: 1,43034%
Office and hospital visits
2023: 152024: 65333%
Imaging
2023: 302024: 0100%

Dr. MacDonald compared with the California median for ophthalmologists, 2024

  • Dr. MacDonald
  • California median
Medicare services
1,495vs 1,07939% above
Medicare patients
490vs 42116% above
Part D claims
845vs 61837% above

Medians across 2,568 ophthalmologists in California with Dmand AI profiles that report each measure.

Dr. MacDonald's most billed Medicare procedure codes, 2024

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 K. MacDonald treated 490 Medicare patients in 2024, average age 79

CMS counts 490 Medicare patients who saw Dr. MacDonald in 2024. The largest group is 75 to 84, with 244 patients. 75% of them have high cholesterol, and 69% have high blood pressure. Their average risk score is 0.94, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. MacDonald's median patient age at 79, with 56% women.

Medicare patients, 2024490
Average age79
Average risk score0.94

Dr. MacDonald's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. MacDonald's Medicare patients by sex, 2024

  • Women30562%
  • Men18538%

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

  1. High cholesterol75%
  2. High blood pressure69%
  3. Arthritis34%
  4. Chronic kidney disease24%
  5. Osteoporosis24%
  6. Diabetes23%
  7. Ischemic heart disease19%
  8. Cancer17%

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 79

Patient panel by sex, all payers

  • Women56%
  • Men44%

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

Dr. Michael K. MacDonald wrote 961 Medicare Part D claims in 2024

In 2024, Dr. MacDonald wrote 961 Medicare Part D claims for 204 patients. 38% of them were for generic drugs. CMS names the drug for 845 of them, across 2 drugs with 11 or more claims each, at $10,730 in total drug cost. In 2023, CMS named 1,147 claims across 7 drugs.

Part D claims, 2024961
Drugs named by CMS2
Total drug cost$10,730
Part D patients204

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

  • Generic369 claims38%
  • Brand-name592 claims62%

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: 1,1472024: 84526%

Drugs named by CMS: 2 in 2024, 7 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 K. MacDonald scored 85 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 85 out of 100 for Dr. MacDonald for performance year 2024, reported as part of a group.

Dr. MacDonald's MIPS scores, performance year 2024

  • 85of 100Final score
  • 81.5of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 67of 100Cost

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

Source: Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Michael K. MacDonald received $1,215 in industry payments from 2016 to 2024

CMS Open Payments shows 64 general payments to Dr. MacDonald from 17 drug and device companies from 2016 to 2024. Food and beverage make up the largest share, 97% of the total. Novartis Pharmaceuticals Corporation paid the most, $238.

General payments to Dr. MacDonald by program year, 2016 to 2024

General payments to Dr. MacDonald by kind, 2016 to 2024

$1.2Kin total
  • Food and beverage$1,17897%
  • Education$383%

Companies that paid Dr. MacDonald the most, 2016 to 2024

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 K. MacDonald has 1 award and honors on record

Dmand AI lists 1 award for Dr. MacDonald.

Awards and honors for Dr. MacDonald

  1. Undated
    • AAO Fellow

Source: Dmand AI Professional Profile Data

Dr. Michael K. MacDonald graduated from New York Medical College

Dr. MacDonald graduated from New York Medical College in 1973. Dr. MacDonald is a member of AAO.

  1. Medical schoolNew York Medical College
  2. Board certified in ophthalmologyAmerican Board of Ophthalmology

Source: Dmand AI Professional Profile Data

Dr. Michael K. MacDonald accepts plans from 13 insurance carriers

Dr. MacDonald is in network with 13 carriers, including Blue Cross Blue Shield of Michigan, United Healthcare and Aetna. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Aetna
  • Elevance
  • HCSC
  • Blue Cross Blue Shield of Massachusetts
  • Regence Health Plans
  • Alliant Health Plans
  • +5 more carriersWith a free account

Plan types Dr. MacDonald accepts, by number of carriers

  1. PPO9
  2. Medicare7
  3. HMO6
  4. EPO3
  5. POS2

Source: Dmand AI Insurance Network Data

Sources for Dr. Michael K. 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 phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation 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 percentilesClinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
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 K. 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 K. MacDonald's NPI number?

Dr. Michael K. MacDonald's NPI number is 1144398512. It was assigned on December 1, 2006, and it is active in the NPI Registry.

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

Dr. Michael K. MacDonald is an ophthalmologist in San Mateo, California. The primary specialty in the NPI Registry is Ophthalmology Physician (taxonomy code 207W00000X).

Where does Dr. Michael K. MacDonald practice?

Dr. MacDonald practices at 50 S San Mateo Dr, San Mateo, CA 94401. Dr. MacDonald's primary practice is San Mateo Endoscopy Center in San Mateo, California. Dmand AI also links Dr. MacDonald to 2 group practices and clinics and 2 medical groups.

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

The practice phone on file for Dr. MacDonald is (650) 348-5882.

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

Dr. MacDonald holds California license G28778, one of the licenses on file in 2 states.

Which states has Dr. Michael K. MacDonald been licensed in?

Dmand AI has state licenses on file for Dr. MacDonald in California (1975 to 2027) and Arizona (since 1978).

Does Dr. Michael K. MacDonald accept Medicare?

Yes. CMS data shows Dr. MacDonald billed Medicare for 1,495 services in 2024.

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

Dr. MacDonald's MIPS final score for performance year 2024 is 85 out of 100, reported as part of a group.

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

CMS counts 490 Medicare patients who saw Dr. MacDonald in 2024, with an average age of 79.

Is Dr. Michael K. MacDonald board certified?

Yes. Dr. MacDonald is board certified in ophthalmology by the American Board of Ophthalmology.

Show 6 more questionsShow fewer questions

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

In 2024, Dr. MacDonald's most billed Medicare services were eye exam or test (92014), eye exam or test (92083) and eye exam or test (92012).

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

Dr. MacDonald graduated from New York Medical College in 1973.

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

In 2024 Medicare Part D data, Dr. MacDonald's most prescribed drugs by claims were Latanoprost and Timolol Maleate.

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

CMS Open Payments shows $1,215 in general payments to Dr. MacDonald from 17 companies from 2016 to 2024. The largest total came from Novartis Pharmaceuticals Corporation.

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

Dr. MacDonald graduated from medical school in 1973, 53 years ago.

What insurance does Dr. Michael K. MacDonald accept?

Dr. MacDonald is in network with 13 carriers, including Blue Cross Blue Shield of Michigan, United Healthcare and Aetna. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

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