Dr. Michael J. McDonald, DO

  • Houston, TX
  • Emergency medicine physician
NPI1942282876PAC ID5092898742
Medicare services, 2024
225
Medicare patients, 2024
158
Part D claims, 2024
104
Publications
1
Hospital affiliations
3
Practice address
6720 Bertner Ave, STE Mc1-266, Houston, TX 77030
Practice phone
Call (832) 355-1000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Baylor St. Luke's Medical Center

Hospital · Houston, Texas

See all 11 affiliations

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Dr. Michael J. McDonald is an emergency medicine physician in Houston, Texas

Dr. McDonald practices at Baylor St. Luke's Medical Center in Houston, Texas, part of CommonSpirit Health.

Dr. McDonald's NPI, 1942282876, was assigned on November 16, 2005. Dr. McDonald graduated from Kansas City University of Medicine and Biosciences College of Osteopathic Medicine in 2003. Dr. McDonald holds Texas license N5235.

NPI and contact details
Medicare PAC ID
5092898742
NPI enumeration date
November 16, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(832) 355-1000
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
49
Medical school graduation
2003

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

Dr. Michael J. McDonald practices at Baylor St. Luke's Medical Center in Houston, Texas

Dr. McDonald's primary practice is Baylor St. Luke's Medical Center, at 6720 Bertner Ave, STE Mc1-266, Houston, TX 77030 in Harris County. The practice phone is (832) 355-1000.

Source: Dmand AI Affiliation Data

Dr. Michael J. McDonald is affiliated with 3 sites of care and 8 medical groups

Dr. McDonald's primary practice is Baylor St. Luke's Medical Center in Houston, Texas, part of CommonSpirit Health. Dr. McDonald is also affiliated with Harris Health Ben Taub Hospital. The medical group on file is Baylor Medicine. Dmand AI also links Dr. McDonald to 1 more hospital and 7 medical groups, each named with a free account.

See all 11 affiliations for Dr. McDonald

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

Dmand AI tracks the EHR system at Dr. Michael J. McDonald's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. McDonald practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Baylor St. Luke's Medical CenterAvailable with a free account
+2 more sites and 7 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Michael J. McDonald is one of 4,831 emergency medicine physicians in Texas

Emergency medicine is Dr. McDonald's primary specialty in the NPI Registry, under taxonomy code 207P00000X. Dr. McDonald is board certified in 2005 - 2012 by the AL State License. Dmand AI has Dr. McDonald's licenses on file in 2 states: Texas and Alabama.

Specialties and state licenses

  • Emergency medicine, TexasPrimaryLicense N5235 · taxonomy 207P00000X
  • Alabama licenseLicense DO-896

Emergency medicine physicians near Dr. McDonald

Counts of emergency medicine 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 J. McDonald billed Medicare for 225 services in 2024

CMS data shows 225 Medicare services from Dr. McDonald across 4 procedure codes in 2024, for 158 Medicare patients. Medicare paid $23,116 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024225
Medicare patients158
Paid by Medicare$23,116
Procedure codes4

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

  • 2023
  • 2024
Office and hospital visits
2023: 4382024: 16463%
Tests and treatments
2023: 1892024: 6168%

Dr. McDonald compared with the Texas median for emergency medicine physicians, 2024

  • Dr. McDonald
  • Texas median
Medicare services
225vs 225Close to median
Medicare patients
158vs 20623% below
Part D claims
15vs 7480% below

Medians across 4,588 emergency medicine physicians in Texas with Dmand AI profiles that report each measure.

Dr. McDonald'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. McDonald

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

Dr. Michael J. McDonald treated 158 Medicare patients in 2024, average age 69

CMS counts 158 Medicare patients who saw Dr. McDonald in 2024. The largest group is 65 to 74, with 50 patients. 75% of them have high blood pressure, and 71% have high cholesterol. 27% are also on Medicaid. Their average risk score is 2.49, 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. McDonald's median patient age at 54, with 62% women.

Medicare patients, 2024158
Average age69
Average risk score2.49
Also on Medicaid27%

Dr. McDonald's Medicare patients by age, 2024

Dr. McDonald's Medicare patients by sex, 2024

  • Women8151%
  • Men7749%

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

  1. High blood pressure75%
  2. High cholesterol71%
  3. Diabetes43%
  4. Arthritis41%
  5. Chronic kidney disease41%
  6. Heart failure39%
  7. Ischemic heart disease38%
  8. Anxiety35%

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

Dr. McDonald's patients across all payers

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

Patient panel by age, all payers

Median age 54

Patient panel by sex, all payers

  • Women62%
  • Men38%

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

Dr. Michael J. McDonald wrote 104 Medicare Part D claims in 2024

In 2024, Dr. McDonald wrote 104 Medicare Part D claims for 77 patients. 92% of them were for generic drugs. CMS names the drug for 15 of them, across 1 drug with 11 or more claims each, at $168 in total drug cost. In 2023, CMS named 39 claims across 3 drugs.

Part D claims, 2024104
Drugs named by CMS1
Total drug cost$168
Part D patients77

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

  • Generic96 claims92%
  • Brand-name and other8 claims8%

Dr. McDonald'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.

Drug classes CMS tracks in Dr. McDonald's Part D claims, 2024

  • Antibiotics48%50 of 104 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 392024: 1562%

Drugs named by CMS: 1 in 2024, 3 in 2023.

See all prescribing by Dr. McDonald

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

How Dr. Michael J. McDonald takes part in Medicare

Dr. McDonald accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Dr. Michael J. McDonald has 1 publication on record

Dmand AI links 1 paper to Dr. McDonald in 2013. Dr. McDonald's most frequent co-authors are Stephen William Bartol, MD, Victor Weichi Chang, MD and Victor Chang, MD.

Papers1

Dr. McDonald's most frequent co-authors

Recent publications by Dr. McDonald

See all 1 publications and co-authors

See who Dr. McDonald researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. McDonald works with, so you can find a warm path to the right emergency medicine physicians.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Michael J. McDonald received $29 in industry payments in 2022

CMS Open Payments shows 1 general payment to Dr. McDonald from 1 drug or device company in 2022. Food and beverage make up the largest share, 100% of the total. Medtronic, Inc. paid the most, $29.

Companies that paid Dr. McDonald the most, 2022 to 2022

Share is of all general payments to this clinician.

See all payments to Dr. McDonald

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

Dr. Michael J. McDonald graduated from Kansas City University of Medicine and Biosciences College of Osteopathic Medicine

Dr. McDonald graduated from Kansas City University of Medicine and Biosciences College of Osteopathic Medicine in 2003.

  1. Medical schoolKansas City University of Medicine and Biosciences College of Osteopathic Medicine
  2. Board certified in 2005 - 2012AL State License
  3. Board certified in emergency medicineAmerican Board of Emergency Medicine
  4. Board certified in 2008 - 2012OH State License
  5. Board certified in 2010 - 2025TX State License

Source: Dmand AI Professional Profile Data

Dr. Michael J. McDonald accepts plans from 11 insurance carriers

Dr. McDonald is in network with 11 carriers, including Aetna, United Healthcare and HCSC. PPO plans come from the most carriers, 8. Check the plan with the practice before a visit.

  • Aetna
  • United Healthcare
  • HCSC
  • Alliant Health Plans
  • Blue Cross Blue Shield of Massachusetts
  • Elevance
  • Blue Cross and Blue Shield of Kansas City
  • Blue Cross Blue Shield of Michigan
  • +3 more carriersWith a free account

Plan types Dr. McDonald accepts, by number of carriers

  1. PPO8
  2. HMO6
  3. Medicare4
  4. POS3
  5. EPO2

Source: Dmand AI Insurance Network Data

Sources for Dr. Michael J. McDonald'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)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
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 J. McDonald

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 J. McDonald's NPI number?

Dr. Michael J. McDonald's NPI number is 1942282876. It was assigned on November 16, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Michael J. McDonald?

Dr. Michael J. McDonald is an emergency medicine physician in Houston, Texas. The primary specialty in the NPI Registry is Emergency Medicine Physician (taxonomy code 207P00000X).

Where does Dr. Michael J. McDonald practice?

Dr. McDonald practices at 6720 Bertner Ave, STE Mc1-266, Houston, TX 77030. Dr. McDonald's primary practice is Baylor St. Luke's Medical Center in Houston, Texas, part of CommonSpirit Health. Dmand AI also links Dr. McDonald to 1 hospital and 7 medical groups.

What is Dr. Michael J. McDonald's office phone number?

The practice phone on file for Dr. McDonald is (832) 355-1000.

What is Dr. Michael J. McDonald's medical license number?

Dr. McDonald holds Texas license N5235, one of the licenses on file in 2 states.

Which states has Dr. Michael J. McDonald been licensed in?

Dmand AI has state licenses on file for Dr. McDonald in Texas and Alabama.

Which hospitals is Dr. Michael J. McDonald affiliated with?

Dr. McDonald practices at Baylor St. Luke's Medical Center in Houston, Texas. Dr. McDonald is also affiliated with Harris Health Ben Taub Hospital. Dmand AI links Dr. McDonald to 1 more hospital.

What medical group is Dr. Michael J. McDonald part of?

Dr. McDonald is linked to Baylor Medicine. Dmand AI links Dr. McDonald to 7 more medical groups.

Does Dr. Michael J. McDonald accept Medicare?

Yes. CMS data shows Dr. McDonald billed Medicare for 225 services in 2024, and Dr. McDonald accepts Medicare assignment.

How many Medicare patients does Dr. Michael J. McDonald see?

CMS counts 158 Medicare patients who saw Dr. McDonald in 2024, with an average age of 69.

Show 9 more questionsShow fewer questions

Is Dr. Michael J. McDonald board certified?

Yes. Dr. McDonald is board certified in 2005 - 2012 by the AL State License.

What services does Dr. Michael J. McDonald bill to Medicare?

In 2024, Dr. McDonald's most billed Medicare services were emergency department visit (99285), heart test or procedure (93010) and emergency department visit (99284).

Where did Dr. Michael J. McDonald go to medical school?

Dr. McDonald graduated from Kansas City University of Medicine and Biosciences College of Osteopathic Medicine in 2003.

What drugs does Dr. Michael J. McDonald prescribe most?

In 2024 Medicare Part D data, Dr. McDonald's most prescribed drugs by claims were Cefdinir.

Has Dr. Michael J. McDonald received payments from drug or device companies?

CMS Open Payments shows $29 in general payments to Dr. McDonald from 1 company from 2022 to 2022. The largest total came from Medtronic, Inc.

How long has Dr. Michael J. McDonald been practicing?

Dr. McDonald graduated from medical school in 2003, 23 years ago.

Does Dr. Michael J. McDonald do research?

Dmand AI links 1 publication to Dr. McDonald.

Who does Dr. Michael J. McDonald publish with?

Dr. McDonald's most frequent co-authors are Stephen William Bartol, MD (1 shared paper), Victor Weichi Chang, MD (1 shared paper) and Victor Chang, MD (1 shared paper).

What insurance does Dr. Michael J. McDonald accept?

Dr. McDonald is in network with 11 carriers, including Aetna, United Healthcare and HCSC. PPO plans come from the most carriers, 8. Check the plan with the practice before a visit.

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