Doctor profile · Federal record
Dr. April McDonald, M.D.
Critical Care Medicine (Internal Medicine) Physician (CMS: Pulmonary Disease) · Pulmonary Disease Physician · Pulmonary Disease Physician · Gainesville, GA
- NPI 1275892440
- Accepts Medicare
- MIPS 82.6 / 100 · 2023
- 14 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
743 Spring St Ne
Gainesville, GA 305013715
(770) 219-9000 - Mailing address
-
Po Box 742616
Atlanta, GA 303742616
Credentials & registration
- NPI registered
- May 2012 — 14 yrs on file
- Profile last updated
- January 12, 2021
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 207RC0200X — NUCC code
- State licenses (2)
- Georgia #80318 · Tennessee #55000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1275892440. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
777
Distinct HCPCS
10
Medicare allowed
$77,348
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 146 | 95 | $122 | |
99291 |
Critical care, first 30-74 minutes | 114 | 64 | $207 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 96 | 45 | $75 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 65 | 60 | $86 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 48 | 48 | $159 | |
31624 |
Irrigation and suction of lung airways to obtain cells using an endoscope | 45 | 42 | $13 | |
94618 |
Test for exercise-induced lung stress | 33 | 27 | $32 | |
31645 |
Aspiration of initial secretion of lung airway using an endoscope | 31 | 28 | $37 | |
94664 |
Evaluation of use of breathing device | 28 | 26 | $15 | |
31628 |
Biopsy of lobe of lung using an endoscope, 1 lobe | 24 | 24 | $91 |
In context: peer comparison
Among 12 peers in this city , average services per provider: 101. This provider delivers 7.7× the peer median.Open Payments
Industry payments received
All-time total
$3,148
Transactions
33
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| INTUITIVE SURGICAL, INC. | 18 | $2,929.55 | |
| GlaxoSmithKline, LLC. | 12 | $141.95 | |
| GENZYME CORPORATION | 1 | $28.84 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 1 | $28.02 | |
| Mylan Specialty L.P. | 1 | $19.74 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,146
Patients
268
Total drug cost
$538,687
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 251 | 56 | $234,957 |
| Breztri Aerosphere (Budesonide/Glycopyr/Formoterol) | Brand | 217 | 48 | $172,733 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 195 | 62 | $5,274 |
| Fluticasone Propionate | Generic | 85 | 30 | $1,142 |
| Azithromycin | Generic | 56 | 12 | $1,197 |
| Montelukast Sodium | Generic | 53 | 14 | $610 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 51 | 11 | $26,491 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 50 | 0 | $28,797 |
| Prednisone | Generic | 37 | 23 | $125 |
| Azelastine Hcl | Generic | 28 | 0 | $1,070 |
Frequently asked questions
What is Dr. April McDonald's medical specialty?
Dr. April McDonald practices Critical Care Medicine (Internal Medicine) Physician in Gainesville, GA.
Where does Dr. April McDonald practice?
Dr. April McDonald practices at 743 Spring St Ne, Gainesville, GA 305013715. Office phone: 7702199000.
What is Dr. April McDonald's NPI?
Dr. April McDonald's National Provider Identifier (NPI) is 1275892440, issued by NPPES.
Does Dr. April McDonald accept Medicare assignment?
Yes. Dr. April McDonald accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. April McDonald commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.