Thomas L Mcdonald , PA-C MPH
Physician Assistant โข Madison, WI
752 N High Point Rd
Madison, WI 537172236
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 December 12, 2006; this date does not establish years in practice.
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Published CMS data list 521 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:
- 99213 โ Established patient outpatient office visit: 182 service units.
- 99212 โ Established patient outpatient office visit: 76 service units.
- 99214 โ Established patient outpatient office visit: 51 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 all 11 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 307 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Cephalexin โ 52 prescription fills, including refills.
- Prednisone โ 43 prescription fills, including refills.
- Doxycycline Hyclate โ 38 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 11 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Madison, WI (2024, 217 clinicians with data). Median for this group: 209. Middle half: 73 to 407.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,918 clinicians with data). Median for this group: 151. Middle half: 65 to 328.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 189 in 2020 to 521 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
752 N High Point Rd
Madison, WI 537172236
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: University Of Wisconsin Medical Foundation Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
1995
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
395 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 $29,611 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 $19,832 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.
30-day fills
309 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
$2,088 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $22.67 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
31 years (graduated 1995)
CMS Doctors and Clinicians data list 1995 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, CMS release of October 2, 2026.
NPI first issued
2006
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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.
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 Madison and Wisconsin
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Madison, WI (2024, 217 clinicians with data). Median for this group: 209. Middle half: 73 to 407.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,918 clinicians with data). Median for this group: 151. Middle half: 65 to 328.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Madison, WI (2024, 217 clinicians with data). Median for this group: $13,537. Middle half: $6,026 to $22,762.
A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,918 clinicians with data). Median for this group: $11,613. Middle half: $5,395 to $21,454.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Madison, WI (2024, 217 clinicians with data). Median for this group: $9,864. Middle half: $4,514 to $16,414.
A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,918 clinicians with data). Median for this group: $8,471. Middle half: $3,920 to $15,797.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Madison, WI (2024, 217 clinicians with data). Median for this group: 121. Middle half: 44 to 351.
More Part D prescriptions than 60% of clinicians listed under Physician Assistant in Wisconsin (2024, 2,087 clinicians with data). Median for this group: 194. Middle half: 67 to 678.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Madison, WI (2024, 217 clinicians with data). Median for this group: $1,465. Middle half: $324 to $19,150.
Close to the middle for clinicians listed under Physician Assistant in Wisconsin (2024, 2,087 clinicians with data). Median for this group: $2,424. Middle half: $547 to $63,808.
396 active clinicians are listed under Physician Assistant with a practice address in Madison, WI (3,519 in Wisconsin).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Madison
18.7% of these 396 clinicians have the CMS telehealth indicator.
66.4% of these 396 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
Medicare Part B services increased 176% from 189 in 2020 to 521 in 2024.
- 2020: 189
- 2021: 726
- 2022: 346
- 2023: 419
- 2024: 521
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Medicare-allowed amount
Medicare-allowed amount increased 313% from $7,176 in 2020 to $29,611 in 2024.
- 2020: $7,176
- 2021: $23,512
- 2022: $19,834
- 2023: $23,446
- 2024: $29,611
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Paid by Medicare
Paid by Medicare increased 310% from $4,839 in 2020 to $19,832 in 2024.
- 2020: $4,839
- 2021: $20,373
- 2022: $11,920
- 2023: $16,526
- 2024: $19,832
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 18% from 374 in 2020 to 307 in 2024.
- 2020: 374
- 2021: 772
- 2022: 773
- 2023: 421
- 2024: 307
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30-day fills
30-day fills decreased 67% from 924 in 2020 to 309 in 2024.
- 2020: 924
- 2021: 1,771
- 2022: 1,709
- 2023: 735
- 2024: 309
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Part D drug cost
Part D drug cost decreased 68% from $6,593 in 2020 to $2,088 in 2024.
- 2020: $6,593
- 2021: $16,290
- 2022: $13,473
- 2023: $5,443
- 2024: $2,088
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $16.60 in 2023 to $22.67 in 2025.
- 2023: $16.60
- 2025: $22.67
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท 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
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $22.67.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Avanos Medical |
Food and Beverage
In-kind items and services
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ON-Q PUMP AND ACCESSORIES | General | $22.67 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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, 2017โ2024; 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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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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182 | 176 | $234.00 | $72.38 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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76 | 75 | $160.00 | $44.80 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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51 | 51 | $343.00 | $102.49 |
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99202
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
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49 | 49 | $254.00 | $57.60 |
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36415
Insertion of needle into vein for collection of blood sample
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39 | 39 | $37.10 | $8.65 |
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81001
Manual urinalysis test with examination using microscope, automated
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36 | 34 | $53.00 | $3.11 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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27 | 27 | $359.00 | $86.53 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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25 | 25 | $129.00 | $7.37 |
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87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
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13 | 13 | $152.00 | $16.20 |
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87637
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus
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12 | 12 | $808.00 | $139.78 |
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96372
Injection of drug or substance under skin or into muscle
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11 | 11 | $137.00 | $11.46 |
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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 52 | 405 | $287.05 | 51 |
| Prednisone | Prednisone | 43 | 222 | $102.31 | 43 |
| Doxycycline Hyclate | Doxycycline Hyclate | 38 | 262 | $196.02 | 38 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 34 | 179 | $305.98 | 34 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 28 | 653 | $147.63 | 28 |
| Azithromycin | Azithromycin | 27 | 135 | $146.96 | 26 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 25 | 224 | $235.75 | 25 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 17 | 158 | $78.53 | 17 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 17 | 113 | $101.85 | 15 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 15 | 243 | $402.19 | 14 |
| Ondansetron Odt | Ondansetron | 11 | 49 | $83.78 | 11 |
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: 2021-08-04NUCC 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.
NUCC Taxonomy Code: 363AM0700X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20080603000409
WI
8921178930
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, CMS release of October 2, 2026
University Of Wisconsin Medical Foundation Inc
2402 Winnebago St, Madison, WI 537045341
University Of Wisconsin Medical Foundation Inc
600 Highland Ave, Madison, WI 537920001
Phone: 6082636400
University Of Wisconsin Medical Foundation Inc
7102 Mineral Point Rd, Madison, WI 537171706
Phone: 6088287603
University Of Wisconsin Medical Foundation Inc
7974 Uw Health Ct, Middleton, WI 535625531
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Family Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Practice Nurse Prescriber
Psychologist
Doctor of Philosophy (Ph.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Physician Assistant
Registered at 752 N HIGH POINT RD, MADISON, WI 537172236 (Tel: 6088244000)
Physician Assistant (license number reported to NPPES: WI 2227)
Registered at 1808 W BELTLINE HWY, MADISON, WI 537132334 (Tel: 6082501497)
Physician Assistant
Physician Assistant (license number reported to NPPES: WI 2227)
Physician Assistant (license number reported to NPPES: WI 2227)
NPI status registered as active in NPPES database
Registered at 7102 MINERAL POINT RD, MADISON, WI 53717 (Tel: 6088287603)
Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531
Recorded as THOMAS MCDONALD, PA-C MPH
Physician Assistant (license number reported to NPPES: WI 2227)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Madison
- Laura Millevolte, PA-C
- Allison Pokrzywa, PA-C
- Jessica Killerlain, PA
- Aimee Passini, PA
- Jamie Birkelo, PA-C
- Lindsey Bowman, PA-C
Mailing Address
1808 W Beltline Hwy
Madison, WI 537132334
Phone: 6082501497