Physician

Robert Lewis Mcdonald, MD

According to 2025 Medicare claims, Robert Mcdonald, MD (NPI: 1295807006) practices pulmonary disease in the Carson City, NV market, with the plurality of this provider's patient population coming from Carson City, NV. This provider's primary affiliated billing organization is ROBERT L MCDONALD MD & GUY T FOSTER MD LTD (NPI: 1013115591; TIN: 880119775) and primary practice location at 89703-2459.

Mcdonald's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,182 traditional Medicare patients, billed 2,934 HCPCS/CPT codes, and received $202,433 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 3,552 prescription claims across 480 beneficiaries totaling $2,175,825 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 12,166 claims. Open Payments data shows 85 records totaling $1,756. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $305,586 to $202,433. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $823,207 to $2,175,825. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $832,467 and ending at $743,319.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$181K$362K2015 Medicare payment: $305,586 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $360,431 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $361,765 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $346,481 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $277,192 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $201,978 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $223,270 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $229,867 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $205,236 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $202,433 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,2464,537$305,586
20161,6595,428$360,431
20171,9485,588$361,765
20181,8855,432$346,481
20191,4194,278$277,192
20201,1783,028$201,978
20211,2103,309$223,270
20221,1883,381$229,867
20231,1513,231$205,236
20241,1822,934$202,433

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.4M$2.7M2015 Drug cost: $823,207 (USD; Tot_Drug_Cst)2016 Drug cost: $1,085,430 (USD; Tot_Drug_Cst)2017 Drug cost: $1,179,302 (USD; Tot_Drug_Cst)2018 Drug cost: $1,756,392 (USD; Tot_Drug_Cst)2019 Drug cost: $2,615,715 (USD; Tot_Drug_Cst)2020 Drug cost: $2,709,796 (USD; Tot_Drug_Cst)2021 Drug cost: $2,671,008 (USD; Tot_Drug_Cst)2022 Drug cost: $2,459,994 (USD; Tot_Drug_Cst)2023 Drug cost: $2,300,313 (USD; Tot_Drug_Cst)2024 Drug cost: $2,175,825 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154062,978$823,207
20164943,498$1,085,430
20175243,995$1,179,302
20185664,361$1,756,392
20195454,581$2,615,715
20205434,212$2,709,796
20215253,709$2,671,008
20225033,689$2,459,994
20234883,403$2,300,313
20244803,552$2,175,825

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$518K$1.0M2015 Medicare payment: $930,611 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $769,672 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $616,534 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $728,101 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $883,549 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $1,035,221 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $1,010,701 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $892,342 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $947,920 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $787,198 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20153,38411,064$930,611
20163,87412,573$769,672
20174,10812,608$616,534
20184,48112,693$728,101
20194,66813,640$883,549
20204,77114,175$1,035,221
20214,57613,652$1,010,701
20224,49312,660$892,342
20234,48012,885$947,920
20244,34612,166$787,198

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more201201$124
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more320387$88
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more8591,273$64
94060Test to measure expiratory airflow and volume changes before and after medication administration189200$8
94729Test to examine how well the lungs exchange gases188199$7

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Trelegy ElliptaFluticasone/Umeclidin/Vilanter74932,100$657,660
OfevNintedanib Esylate33990$408,499
Dupixent SyringeDupilumab451,260$168,535
Breo ElliptaFluticasone/Vilanterol26612,750$162,894
Breztri AerosphereBudesonide/Glycopyr/Formoterol1426,962$142,179

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY1621,276$110,134
A7031Face mask interface, replacement for full face mask, eachN3861,018$108,488
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)Y1396$97,271
A7030Full face mask used with positive airway pressure device, eachN387984$95,340
E0470Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)Y79465$44,602

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.85$1,756GlaxoSmithKline, LLC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Robert Lewis Mcdonald, MD?

Tedicare shows public-source Medicare data for Robert Lewis Mcdonald, MD (NPI 1295807006), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Robert Lewis Mcdonald, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Robert Lewis Mcdonald, MD?

Robert Lewis Mcdonald, MD is linked to ROBERT L MCDONALD MD & GUY T FOSTER MD LTD (billing NPI 1013115591) in the available physician profile data.

Does Robert Lewis Mcdonald, MD have Open Payments data?

Robert Lewis Mcdonald, MD has 85 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.