Thomas Allen Mcdonald , PA-C
Physician Assistant โข Providence, RI
593 Eddy St
Providence, RI 029034923
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Thomas Mcdonald is listed in NPPES under Physician Assistant.
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NPI assigned on January 30, 2019; this date does not establish years in practice.
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Published CMS data list 40 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99231 โ Subsequent hospital care with straightforward or low level of medical decision making, per day: 40 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Providence, RI (2024, 119 clinicians with data). Median for this group: 152. Middle half: 51 to 303.
Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Rhode Island (2024, 348 clinicians with data). Median for this group: 233. Middle half: 78 to 486.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
Practice Location & Contact Primary Location
593 Eddy St
Providence, RI 029034923
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Cumberland, RI. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Sturdy Health Inc. 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
2018
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
64 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $1,646 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 โ by Provider and Service, 2024.
Paid by Medicare
About $1,296 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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 โ by Provider and Service, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2019
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Thomas 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.
Can order Medicare-covered services
CMS lists Thomas 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Providence and Rhode Island
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Providence, RI (2024, 119 clinicians with data). Median for this group: 152. Middle half: 51 to 303.
Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Rhode Island (2024, 348 clinicians with data). Median for this group: 233. Middle half: 78 to 486.
Medicare-allowed amount
A lower Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Providence, RI (2024, 119 clinicians with data). Median for this group: $11,180. Middle half: $4,296 to $22,000.
A lower Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Rhode Island (2024, 348 clinicians with data). Median for this group: $17,396. Middle half: $6,065 to $31,744.
Paid by Medicare
A lower Medicare payment amount than 90% of clinicians listed under Physician Assistant in Providence, RI (2024, 119 clinicians with data). Median for this group: $8,799. Middle half: $2,882 to $16,394.
A lower Medicare payment amount than 90% of clinicians listed under Physician Assistant in Rhode Island (2024, 348 clinicians with data). Median for this group: $13,448. Middle half: $4,267 to $23,050.
267 active clinicians are listed under Physician Assistant with a practice address in Providence, RI (684 in Rhode Island).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Providence
16.5% of these 267 clinicians have the CMS telehealth indicator.
58.1% of these 267 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
CMS data for Medicare Part B services are available for 2024 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2024 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2024 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 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 โ by Provider and Service data, 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 |
|---|---|---|---|---|
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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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40 | 25 | $103.00 | $41.15 |
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.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-12-22NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20240215002193
MA
3971914763
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
Sturdy Health Inc
100 Oneil Blvd, Attleboro, MA 027034218
Phone: 5083421105
Secondary Practice Locations
21 Broadview Ave
Cumberland, RI 028644609
Phone: 5086412296
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Interventional Cardiology
Doctor of Medicine (M.D.)
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Internal Medicine - Interventional Cardiology
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Internal Medicine - Clinical Cardiac Electrophysiology
Doctor of Medicine (M.D.)
Physician Assistant - Medical
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014445891)
Physician Assistant (license number reported to NPPES: RI PA01104)
NPI status registered as active in NPPES database
Registered at 21 BROADVIEW AVE, CUMBERLAND, RI 028644609 (Tel: 5086412296)
Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014444000)
Recorded as THOMAS MCDONALD, PA-C
Psychiatry & Neurology (license number reported to NPPES: RI PA01104)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Providence
- Fallon Guin, PA-S
- Gina Satterfield, PA-C
- Elizabeth Worden, PA
- Sima Patel, PA-C
- Emily Grote, PA-C
- Erin Machado, PA-C
Mailing Address
593 Eddy St
Providence, RI 029034923
Phone: 4014444000