2026 NPPES data Orthopaedic Surgery Physician NPI 1275504045 MD
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Michael McDonald, MD

Orthopaedic Surgery Physician in Spokane, Washington. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,781 in Orthopaedic Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
617
Medicare Part D claims · 227 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Michael McDonald, MD filed 617 Medicare Part D claims in 2023 as a Orthopaedic Surgery Physician in Spokane, Washington, prescribing 94% generic.

617
Part D claims, 2023
94%
generic prescribing
Likely
board-certified (heuristic)

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.

Michael McDonald, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

617 Top 31% higher than 69% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic, not verified)

Michael McDonald, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Michael McDonald, MD?

Quality data not reported

NPI registry status

Active

Issued 01/30/2006

NPI 1275504045

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

617 90% vs specialty avg

2023 prescription claims

Specialty avg: 324

Specialty distribution in Washington

How Orthopaedic Surgery Physician compares to other specialties among Washington providers

Washington providers
Mental Health Counselor - 8.6%Mental Health Counselor8.6%Massage Therapist - 6.5%Massage Therapist6.5%Counselor - 5.7%Counselor5.7%Behavior Technician - 4.5%Behavior Technician4.5%Pharmacist - 4%Pharmacist4%Physical Therapist - 3.6%Physical Therapist3.6%Orthopaedic Surgery Physician - 0.3%Orthopaedic Surgery Physician0.3%
Largest specialties in Washington (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Orthopaedic Surgery Physician. Verify directly:

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).

Michael McDonald, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 601 W 5TH AVE STE 500, Spokane, WA, 99204, with a listed phone of (509) 344-8672. NPI 1275504045 was issued on 01/30/2006. 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 617 prescription claims written by this provider, covering 227 Medicare beneficiaries and totaling roughly $20K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 38.1%. 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.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

601 W 5TH AVE STE 500
Spokane, WA 99204

Provider Details

NPI 1275504045
Specialty Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 01/30/2006

Hospital and facility affiliations

Facilities where Michael McDonald, MD 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.

Northwest Orthopaedic Specialists PS
Post Falls, ID

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

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 Michael McDonald, MD. To verify Michael McDonald, MD'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 · Generic-heavy

Michael McDonald, MD - brand share 6.0%
Orthopaedic Surgery Physician average

6% brand-name claims vs 94% generic, on 617 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.

617
Total Claims
$20K
Total Drug Cost
227
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
621
Total Day Supply
5,269
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$15K
Generic Drug Cost
$6K
Opioid Claims
235 (38.1% rate)
Antibiotic Claims
145

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
0.86
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

What Michael McDonald, MD 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
Cephalexin
105
Oxycodone Hcl
100
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
87
Hydroxyzine Hcl
51
Ondansetron Hcl
48
Tramadol Hcl
36
Celecoxib
33
Xarelto
Rivaroxaban
27
Clindamycin Hcl
24
Pregabalin
16

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

Orthopaedic Surgery Physician Overview

How Michael McDonald, MD fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

Michael McDonald, MD's 617 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Washington

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

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Washington medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Orthopaedic Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Michael McDonald, MD's specialty?
Michael McDonald, MD specializes in Orthopaedic Surgery Physician and practices in Spokane, Washington. Credentials: MD.
How much does Michael McDonald, MD prescribe under Medicare Part D?
In 2023, Michael McDonald, MD wrote 617 Medicare Part D claims totaling $20K in drug costs for 227 beneficiaries.
Where is Michael McDonald, MD located?
Michael McDonald, MD is located at 601 W 5TH AVE STE 500, Spokane, WA, 99204. Phone: (509) 344-8672.
What is Michael McDonald, MD's NPI number?
Michael McDonald, MD's National Provider Identifier (NPI) is 1275504045, issued on 01/30/2006.
Does Michael McDonald, MD prescribe more brand-name or generic drugs?
Michael McDonald, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $15K in brand drug costs.
Does Michael McDonald, MD prescribe opioids?
Yes, Michael McDonald, MD had 235 opioid claims in 2023 with an opioid prescribing rate of 38.1%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does Michael McDonald, MD prescribe most often?
Based on 2023 Medicare Part D data, Michael McDonald, MD's most frequently prescribed drugs include Cephalexin, Oxycodone Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael McDonald, MD accept Medicare?
Michael McDonald, MD appears in CMS Medicare data with 617 Part D claims and 227 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael McDonald, MD's credentials?
Michael McDonald, MD's NPI is 1275504045 with credentials MD. 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.
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

Compiled from official public sources by the PlainDoctor editorial team.