JAMES H. MCCLENATHAN MD
NPI 1053498907
Surgery in Tucson, AZ

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
2800 E AJO WAY, TUCSON, AZ 85713(520) 874-2000 Get Directions Write a Review

NPPES record last updated: October 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James H. Mcclenathan Md NPPES

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

JAMES H. MCCLENATHAN MD (NPI 1053498907) is an individual surgery provider in Tucson, Arizona, licensed in Arizona (37334) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1972).

NPPES Registry Identity

NPI1053498907
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES H. MCCLENATHANCredential: MD
Location Address2800 E AJO WAYTucson, AZ 85713-6204
Mailing Address2800 E Ajo WayTucson, AZ 85713-6204 · (520) 874-2000
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1972
Enumeration DateOctober 31, 2006
Last NPPES UpdateOctober 1, 2015
NPI 1053498907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in AZ · 37334 Licensed in CA · G31416
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2800 E AJO WAY, Tucson, AZ 85713

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 and accepts Medicare assignment

James H. Mcclenathan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557447539
PECOS Enrollment IDI20080401000310
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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients
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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85713 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

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.

Psychologist (Clinical)
2800 E AJO WAY
TUCSON, AZ 85713
Hospitalist
2800 E AJO WAY, FAMILY AND COMMUNITY MEDICINE AT KINO
TUCSON, AZ 85713
Social Worker (Clinical)
2800 E AJO WAY
TUCSON, AZ 85713
Emergency Medicine
2800 E AJO WAY
TUCSON, AZ 85713
Psychiatry & Neurology (Psychiatry)
2800 E AJO WAY
TUCSON, AZ 85713
Psychiatry & Neurology (Psychiatry)
2800 E AJO WAY
TUCSON, AZ 85713
Psychiatry & Neurology (Addiction Medicine)
2800 E AJO WAY
TUCSON, AZ 85713
Emergency Medicine
2800 E AJO WAY
TUCSON, AZ 85713

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 James Mcclenathan's NPI number?

The NPI number for James Mcclenathan is 1053498907. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is James Mcclenathan located?

James Mcclenathan practices at 2800 E Ajo Way, Tucson, AZ 85713. The listed phone number is (520) 874-2000.

What is James Mcclenathan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Mcclenathan enrolled in Medicare?

Yes. James Mcclenathan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Mcclenathan accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list James Mcclenathan 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 James Mcclenathan was last updated on October 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.