Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Matthew Dennis Mcdonald , DO

Surgery • Troy, NY

Active NPI 1619167640 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

720 Hoosick Road, Bariatric And Metabolic Care
Troy, NY 12180

Call 5186879779 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

720 Hoosick Road
Bariatric And Metabolic Care

Troy, NY 12180

Telephone 5186879779
Organization at the Same NPPES Address or Phone
St. Peter's Health Partners Medical Associates, P.c. Facility NPI 1023538428

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Albany, NY; Syracuse, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Southwestern Vermont Medical Center, Inc; Twin Rivers Medical Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

New York College Of Osteo Medicine Of New York Institute Of Technology

Graduation Year

2001

Medicare patients

54 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $19,474 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $14,529 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

437 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$146,707 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $112.49 across 5 records.

By nature of payment

  • Food and Beverage: $112.49 across 5 records.

Reporting-company totals (3 largest of 4)

  • VERTEX PHARMACEUTICALS INCORPORATED: $49.26 across 2 records.
  • Eli Lilly and Company: $25.17 across 1 record.
  • Salix Pharmaceuticals, a division of Bausch Health US, LLC: $23.73 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

25 years (graduated 2001)

CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mcdonald has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mcdonald as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Troy and New York

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Surgery in New York (2024, 991 clinicians with data). Median for this group: 191. Middle half: 83 to 381.

Too few clinicians listed under Surgery in Troy have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Surgery in New York (2024, 991 clinicians with data). Median for this group: $24,272. Middle half: $9,849 to $54,064.

Too few clinicians listed under Surgery in Troy have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Surgery in New York (2024, 991 clinicians with data). Median for this group: $18,754. Middle half: $7,491 to $41,963.

Too few clinicians listed under Surgery in Troy have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Surgery in New York (2024, 612 clinicians with data). Median for this group: 40. Middle half: 20 to 87.

Too few clinicians listed under Surgery in Troy have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Surgery in New York (2024, 612 clinicians with data). Median for this group: $294. Middle half: $86 to $2,914.

Too few clinicians listed under Surgery in Troy have Medicare Part D data for 2024 to compare.

10 active clinicians are listed under Surgery with a practice address in Troy, NY (2,058 in New York).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $112.49.

Manufacturer Payment Nature Product Type Amount ($)
VERTEX PHARMACEUTICALS INCORPORATED
Food and Beverage
In-kind items and services
JOURNAVX General $26.91
Eli Lilly and Company
Food and Beverage
In-kind items and services
ZEPBOUND General $25.17
Salix Pharmaceuticals, a division of Bausch Health US, LLC
Food and Beverage
In-kind items and services
XIFAXAN General $23.73
VERTEX PHARMACEUTICALS INCORPORATED
Food and Beverage
In-kind items and services
JOURNAVX General $22.35
Currax Pharmaceuticals LLC
Food and Beverage
In-kind items and services
CONTRAVE General $14.33

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
91 45 $350.00 $160.66
36415 Insertion of needle into vein for collection of blood sample
26 18 $15.00 $8.32
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
22 17 $15.00 $7.26
80053 Blood test, comprehensive group of blood chemicals
17 14 $21.00 $10.35
83735 Magnesium level
15 13 $13.00 $6.57
84443 Blood test, thyroid stimulating hormone (tsh)
14 13 $32.00 $15.90
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
14 12 $40.00 $15.64
84439 Thyroxine (thyroid chemical), free
13 12 $18.00 $8.16
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
12 12 $775.00 $109.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
12 12 $375.00 $194.95

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Omeprazole Omeprazole 97 3,926 $926.23 31
Sucralfate Sucralfate 39 1,290 $1,225.99 19
Wegovy Semaglutide 37 1,148 $52,741.73 —
Ozempic Semaglutide 36 1,764 $54,862.87 11
Mounjaro Tirzepatide 31 924 $33,305.71 —
Ondansetron Odt Ondansetron 27 137 $227.62 —
Ursodiol Ursodiol 24 960 $2,577.50 —
Nystatin Nystatin 17 390 $339.70 —
Levothyroxine Sodium Levothyroxine Sodium 13 510 $350.65 —
Metformin Hcl Metformin Hcl 11 330 $18.28 —
Famotidine Famotidine 11 690 $130.72 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-05-21
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES NY 2383581

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
03175660 (NY)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20220216002294

Enrollment State Jurisdiction

VT

PECOS Control ID

7315139045

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Twin Rivers Medical Pc

100 Hospital Dr, Bennington, VT 052015004

Phone: 8024426361

Southwestern Vermont Medical Center, Inc

140 Hospital Dr, Bennington, VT 052015015

Phone: 8024475060

Southwestern Vermont Medical Center, Inc

100 Hospital Dr, Bennington, VT 052015004

Phone: 8024426361

Twin Rivers Medical Pc

7 Southwoods Blvd, Albany, NY 122112526

Phone: 5186416580

Secondary Practice Locations

750 E Adams St

Syracuse, NY 132102342

Phone: 3154641800

750 E Adams St

Syracuse, NY 132102342

Phone: 3154641800

319 So Manning Blvd Suite 307, St. Peter's Bariatric Care

Albany, NY 12208

Phone: 5185255208

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Jenna Hume , NP

Nurse Practitioner - Family

NPI 1558997817

Nurse Practitioner

NPI 1356603179

Doctor of Medicine (M.D.)

Olivia Martinez , FNP-BC

Nurse Practitioner - Family

NPI 1174297709

Family Nurse Practitioner (Board Certified)

Kris Sardella , PA

Physician Assistant

NPI 1720054984

Physician Assistant

Sara Swan , FNP

Nurse Practitioner - Family

NPI 1093452641

Family Nurse Practitioner

Lauren Zielinski , RD, RDN

Dietitian, Registered

NPI 1205333440

Registered Dietitian, Registered Dietitian Nutritionist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location April 26, 2019

Registered at 720 HOOSICK ROAD, BARIATRIC AND METABOLIC CARE, TROY, NY 12180 (Tel: 5186879779)

📍
Updated Business Mailing Address April 26, 2019

Registered at PO BOX 14890, ALBANY, NY 122124890

âś…
NPI Profile Active August 31, 2012

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) August 31, 2012

Registered at 750 E ADAMS ST, SYRACUSE, NY 132102342 (Tel: 3154641800)

📍
Business Mailing Address (Initial Record) August 31, 2012

Registered at 750 E ADAMS ST, SYRACUSE, NY 132102342 (Tel: 3154641800)

👤
Provider Name / Credentials (Initial Record) August 31, 2012

Recorded as MATTHEW MCDONALD, D.O

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2012

Surgery (license number reported to NPPES: NY 2383581)

🟢
Initial NPI Registration & Enumeration July 26, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619167640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2007
Last Update: May 21, 2021
Sole Proprietor: No

Other Surgery Specialists in Troy

Healthcare providers in Troy

Mailing Address

Po Box 14890

Albany, NY 122124890

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.