DR. JOHN TIMOTHY MCCLAIN MD
NPI 1053738245
Internal Medicine - Pulmonary Disease in Omaha, NE

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment
NEBRASKA MEDICINE 987400 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198(402) 552-2000 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Timothy Mcclain Md NPPES

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

DR. JOHN TIMOTHY MCCLAIN MD (NPI 1053738245) is an individual pulmonary disease provider in Omaha, Nebraska, licensed in Nebraska (32668) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2014).

NPPES Registry Identity

NPI1053738245
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JOHN TIMOTHY MCCLAINCredential: MD
Location AddressNEBRASKA MEDICINE 987400 NEBRASKA MEDICAL CENTEROmaha, NE 68198-1460
Mailing Address3925 Dewey Ave # Gchs5551Omaha, NE 68105-1110 · (402) 836-9848
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2014
Enumeration DateMarch 25, 2014
Last NPPES UpdateAugust 15, 2022
NPPES CertifiedAugust 15, 2022
NPI 1053738245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NE · 32668
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
NEBRASKA MEDICINE 987400 NEBRASKA MEDICAL CENTER, Omaha, NE 68198

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

Dr. John Timothy Mcclain 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 ID547565509
PECOS Enrollment IDI20251013001718
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 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.
44 services25 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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 John Mcclain's NPI number?

The NPI number for John Mcclain is 1053738245. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Where is John Mcclain located?

John Mcclain practices at Nebraska Medicine 987400 Nebraska Medical Center, Omaha, NE 68198. The listed phone number is (402) 552-2000.

What is John Mcclain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is John Mcclain enrolled in Medicare?

Yes. John Mcclain 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 John Mcclain accept?

Health plans from Medica list John Mcclain 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 John Mcclain was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.