Mr Thomas James Mcdonald, MD - Medicare Orthopedic Surgery in Sonora, CA

Mr Thomas James Mcdonald, MD is a medicare enrolled "Orthopaedic Surgery - Hand Surgery" physician in Sonora, California. He went to George Washington University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Sonora Community Hospital and his current practice location is 680 Guzzi Lane, Suite 105, Sonora, California. You can reach out to his office (for appointments etc.) via phone at (209) 532-0126.

Mr Thomas James Mcdonald is licensed to practice in California (license number A88661) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073504320.

Contact Information

Mr Thomas James Mcdonald, MD
680 Guzzi Lane, Suite 105,
Sonora, CA 95370
(209) 532-0126
(209) 532-2950

Map and Direction




Physician's Profile

Full NameMr Thomas James Mcdonald
GenderMale
SpecialityOrthopedic Surgery
Experience21 Years
Location680 Guzzi Lane, Sonora, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Thomas James Mcdonald attended and graduated from George Washington University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1073504320
  • Provider Enumeration Date: 11/03/2005
  • Last Update Date: 10/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6103993522
  • Enrollment ID: I20091029000324

Medical Identifiers

Medical identifiers for Mr Thomas James Mcdonald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073504320NPI-NPPES
4405104OtherINCIGNA
200917390MedicaidIN
000000585039OtherINANTHEM TRADITIONAL ACCESS & PREFERRED
9362175OtherINAETNA
P00703265OtherINRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery A88661 (California)Secondary
207X00000XOrthopaedic Surgery 01064795A (Indiana)Secondary
207XS0106XOrthopaedic Surgery - Hand Surgery A88661 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Health SonoraSonora, CAHospital
Mark Twain Medical CenterSan andreas, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sonora Community Hospital4284538505117

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Thomas James Mcdonald allows following entities to bill medicare on his behalf.
Entity NameSonora Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891732418
PECOS PAC ID: 4284538505
Enrollment ID: O20031119000910

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Thomas James Mcdonald is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Thomas James Mcdonald, MD
680 Guzzi Lane, Suite 105,
Sonora, CA 95370

Ph: (209) 532-0126
Mr Thomas James Mcdonald, MD
680 Guzzi Lane, Suite 105,
Sonora, CA 95370

Ph: (209) 532-0126

Reviews and Comments


Orthopaedic Surgery Doctors in Sonora, CA

Dr. James Ivy Boyd Iii, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 680 Guzzi Ln Ste 105, Sonora, CA 95370
Phone: 209-532-0126    Fax: 209-532-2950
Dr. Airell Leighton Nygaard, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 680 Guzzi Ln, Suite 102, Sonora, CA 95370
Phone: 209-588-1800    Fax: 209-588-1700
Ariana Marie Demers, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 13949 Mono Way, Sonora, CA 95370
Phone: 209-533-5371    
Dr. John Patrick Nelligan Iii, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 680 Guzzi Ln Ste 102, Sonora, CA 95370
Phone: 209-536-5780    Fax: 209-588-2760

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.