Dr. Thomas Mcdonald, MD
200 W Church St, Lexington, TN 38351 • +1-238-555-9840
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Lexington Percentiles
NPI #1124098488 • CBSA Regional • Emergency Medicine
Anchored in Lexington, TN 38351, Dr. Thomas Mcdonald, MD (NPI 1124098488) logged 1,179 annual procedures (focused low-volume boutique caseload (33.33th Lexington percentile), 78.91th TN percentile, -0.05σ) with sub-specialty concentration in 28 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Mcdonald (averaging 4.9 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (531 encounters), paired with 99213 (307x).
At 200 W Church St (38351), Dr. Thomas Mcdonald, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$201.00 per new consult (4.72/5 bedside rating).
Clinical background for Dr. Mcdonald (MD, NPI #1124098488) includes accredited doctoral training (1992, 34 yrs in practice) and dedicated on-site consultations at 200 W Church St.
Compared against Lexington, TN Emergency Medicine peers
1,179 annual services across 240 beneficiaries
Standard deviations from TN Emergency Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 531 | 33.33th | $169 – $232 |
| 99213 | Established Preventive & Chronic Care Visit | 307 | 35.33th | $129 – $177 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 153 | 30.33th | $62 – $85 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 118 | 31.33th | $199 – $272 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 71 | 35.33th | $235 – $323 |
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Dr. Thomas Mcdonald, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mcdonald National Provider Identifier | NPI #1124098488 (MD) | CMS NPPES Registry (38351) |
| Dr. Mcdonald Lexington CMS Volume Rank | 33.33th Pct (1,179 CMS svcs; Z -0.050σ) | CMS Medicare Part B (TN Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $201.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lexington, TN) |
| Waiting-Room Wait Time & Cash Friendliness | $201.00 avg paid • 21 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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