CHARLES MCCLAVE MD
NPI 1023059094
Internal Medicine in Billings, MT

Active since June 09, 2006PECOS Enrolled
2900 12TH AVE N, SUITE 160W, BILLINGS, MT 59101(406) 237-8500(406) 237-8501 Get Directions Write a Review

NPPES record last updated: February 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles Mcclave Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES MCCLAVE MD (NPI 1023059094) is an individual internal medicine provider in Billings, Montana, licensed in Montana (4217) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023059094
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHARLES MCCLAVECredential: MD
Location Address2900 12TH AVE N, SUITE 160WBillings, MT 59101-7506
Mailing Address1233 N 30th StBillings, MT 59101-0127 · (406) 237-3850
Fax(406) 237-8501
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateFebruary 20, 2019
NPI 1023059094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MT · 4217
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2900 12TH AVE N, Billings, MT 59101

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Charles Mcclave Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
238 services114 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
105 services61 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
61 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
28 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
69%203 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers11 claims11 services$20.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
2900 12TH AVE N, STE 245W
BILLINGS, MT 59101
Clinic/Center
2900 12TH AVE N, SUITE 130W
BILLINGS, MT 59101
Clinic/Center (Multi-Specialty)
2900 12TH AVE N, SUITE 340W
BILLINGS, MT 59101
Orthopaedic Surgery (Sports Medicine)
2900 12TH AVE N, #100E
BILLINGS, MT 59101
Urology
2900 12TH AVE N, STE 503E
BILLINGS, MT 59101
Physician Assistant
2900 12TH AVE N, SUITE 140W
BILLINGS, MT 59101
Surgery
2900 12TH AVE N, STE 502E
BILLINGS, MT 59101
Specialist/Technologist (Athletic Trainer)
2900 12TH AVE N, #100E
BILLINGS, MT 59101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Mcclave's NPI number?

The NPI number for Charles Mcclave is 1023059094. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Charles Mcclave located?

Charles Mcclave practices at 2900 12th Ave N Suite 160W, Billings, MT 59101. The listed phone number is (406) 237-8500.

What is Charles Mcclave's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Mcclave enrolled in Medicare?

Yes. Charles Mcclave is registered in the Medicare PECOS enrollment system.

What insurance does Charles Mcclave accept?

Health plans from Blue Cross and Blue Shield of Texas and PacificSource Health Plans list Charles Mcclave as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Mcclave was last updated on February 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.