2026 NPPES data Physician Assistant NPI 1366925281
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MADISON MCDONALD

Physician Assistant in SPOKANE, Washington. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
799
Medicare Part D claims · 228 beneficiaries · Physician Assistant avg: 790
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.2547/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$115.14
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MADISON MCDONALD reported a CMS MIPS final score of 93.2547/100 — above the 83.1 national average — and filed 799 Medicare Part D claims in 2023.

93.2547/100
MIPS score · +10 vs avg
799
Part D claims, 2023
88%
generic prescribing
$115.14
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

MADISON MCDONALD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

93 Top 29% higher than 71% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about MADISON MCDONALD?

High performer (top quartile)

NPI registry status

Active

Issued 09/07/2018

NPI 1366925281

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

799 1% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

93.2547/100 10.154700000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Washington

How Physician Assistant compares to other specialties among Washington providers

Washington providers

Physician Assistant share within Washington

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Washington

Medicare quality performance — MIPS

MADISON MCDONALD's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
93.2547/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 93.2547/100 vs national avg 83.1

0%100%National avg83%93.3%
MIPS final score (Physician Assistant) — 93.2547/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MADISON MCDONALD appears in the CMS NPPES registry as a Physician Assistant provider at 910 W 5TH AVE STE 800, SPOKANE, WA, 99204, with a listed phone of (509) 755-5120. NPI 1366925281 was issued on 09/07/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCDONALD most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 799 prescription claims written by this provider, covering 228 Medicare beneficiaries and totaling roughly $167K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 2.3%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.2547/100 for the 2023 performance year (Quality 86.5093), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

910 W 5TH AVE STE 800
SPOKANE, WA 99204

Provider Details

NPI 1366925281
Specialty Physician Assistant
Gender Female
NPI Issued 09/07/2018

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

93.2547
Final Score
Avg: 83.1
86.5093
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MADISON MCDONALD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

MULTICARE HEALTH SYSTEM
GIG HARBOR, WA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MADISON MCDONALD. Source: openpaymentsdata.cms.gov.

Total received

$115

Largest payer

Immunocore Limited

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to MADISON MCDONALD. To verify MADISON MCDONALD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MADISON MCDONALD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 799 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

799
Total Claims
$167K
Total Drug Cost
228
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,399
Total Day Supply
39,573
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$146K
Generic Drug Cost
$21K
Opioid Claims
18 (2.3% rate)
Antibiotic Claims
151

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.75
Gender Split
33% female / 67% male
Age Distribution
<65: 27, 65-74: 93, 75-84: 84, 85+: 24

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What MADISON MCDONALD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Tamsulosin Hcl
240
Finasteride
113
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
68
Oxybutynin Chloride Er
Oxybutynin Chloride
64
Myrbetriq
Mirabegron
42
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
22
Oxybutynin Chloride
17
Trospium Chloride
17
Estradiol
16
Solifenacin Succinate
16

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Physician Assistant Overview

How MADISON MCDONALD fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

MADISON MCDONALD's 799 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Washington

Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as MCDONALD.

Compare Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is MADISON MCDONALD's specialty?
MADISON MCDONALD specializes in Physician Assistant and practices in SPOKANE, Washington.
How much does MADISON MCDONALD prescribe under Medicare Part D?
In 2023, MADISON MCDONALD wrote 799 Medicare Part D claims totaling $167K in drug costs for 228 beneficiaries.
What is MADISON MCDONALD's Medicare quality score?
MADISON MCDONALD has a CMS MIPS Final Score of 93.2547/100 (Quality: 86.5093). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MADISON MCDONALD located?
MADISON MCDONALD is located at 910 W 5TH AVE STE 800, SPOKANE, WA, 99204. Phone: (509) 755-5120.
What is MADISON MCDONALD's NPI number?
MADISON MCDONALD's National Provider Identifier (NPI) is 1366925281, issued on 09/07/2018.
Does MADISON MCDONALD prescribe more brand-name or generic drugs?
MADISON MCDONALD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $146K in brand drug costs.
Does MADISON MCDONALD prescribe opioids?
Yes, MADISON MCDONALD had 18 opioid claims in 2023 with an opioid prescribing rate of 2.3%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does MADISON MCDONALD prescribe most often?
Based on 2023 Medicare Part D data, MADISON MCDONALD's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Nitrofurantoin Mono-Macro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MADISON MCDONALD accept Medicare?
MADISON MCDONALD appears in CMS Medicare data with 799 Part D claims and 228 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MADISON MCDONALD's credentials?
MADISON MCDONALD's NPI is 1366925281. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology