Physician

Shaun P Mcdonald, MD

According to 2025 Medicare claims, Shaun Mcdonald, MD (NPI: 1669486320) practices dermatology in the Oshkosh-Neenah, WI market, with the plurality of this provider's patient population coming from Winnebago, WI. This provider's primary affiliated billing organization is FOX VALLEY DERMATOLOGY SC (NPI: 1316951213; TIN: 203758468) and primary practice location at 54904-9998.

Mcdonald's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 516 traditional Medicare patients, billed 2,313 HCPCS/CPT codes, and received $71,991 in Medicare payments. The top billing code was 11102 (Biopsy of related skin growth, first growth). Part D data shows 1,001 prescription claims across 458 beneficiaries totaling $320,791 in drug costs, led by Otezla (Apremilast). Open Payments data shows 2 records totaling $29. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $126,411 to $320,791. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	872	4,280	$105,481
2016	903	4,493	$130,712
2017	876	4,156	$124,489
2018	837	3,994	$129,632
2019	836	3,969	$129,384
2020	698	5,051	$115,390
2021	734	10,085	$168,052
2022	674	10,474	$142,566
2023	590	7,576	$110,170
2024	516	2,313	$71,991

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	477	1,279	$126,411
2016	497	1,254	$97,053
2017	542	1,480	$114,724
2018	464	1,228	$144,184
2019	515	1,412	$130,085
2020	488	1,352	$136,446
2021	522	1,396	$254,021
2022	516	1,369	$196,095
2023	552	1,402	$314,683
2024	458	1,001	$320,791

DME Billing Trend

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

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
11102	Biopsy of related skin growth, first growth	76	84	$61
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$55
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	471	659	$55
17000	Destruction of precancer skin growth, 1 growth	255	339	$42
17003	Destruction of precancer skin growth, 2-14 growths	179	1,064	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Otezla	Apremilast	22	660	$112,849
Dupixent Syringe	Dupilumab	15	420	$57,044
Betamethasone Dipropionate	Betamethasone Dipropionate	97	2,539	$4,761
Metronidazole	Metronidazole	58	1,567	$4,479
Fluorouracil	Fluorouracil	49	1,303	$3,638

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$29	Regeneron Healthcare Solutions, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Shaun P. Mcdonald, MD?

Tedicare shows public-source Medicare data for Shaun P. Mcdonald, MD (NPI 1669486320), 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 Shaun P. 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 Shaun P. Mcdonald, MD?

Shaun P. Mcdonald, MD is linked to FOX VALLEY DERMATOLOGY SC (billing NPI 1316951213) in the available physician profile data.

Does Shaun P. Mcdonald, MD have Open Payments data?

Shaun P. Mcdonald, MD has 2 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.