MATTHEW BONNER MCLAIN ACNP-BC
NPI 1063846525
Nurse Practitioner - Acute Care in Potsdam, NY

Active since September 02, 2013PECOS EnrolledAccepts Medicare Assignment
50 LEROY ST, POTSDAM, NY 13676(315) 265-3300 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 14, 2026, Dec 31, 2024, Apr 3, 2023 and 3 more (6 updates tracked since 2016).

About Matthew Bonner Mclain Acnp-bc NPPES

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

MATTHEW BONNER MCLAIN ACNP-BC (NPI 1063846525) is an individual acute care provider in Potsdam, New York, licensed in New York (431441) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063846525
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMATTHEW BONNER MCLAINCredential: ACNP-BC
Location Address50 LEROY STPotsdam, NY 13676-1786
Mailing Address50 Leroy StPotsdam, NY 13676-1786 · (315) 265-3300 · Fax (315) 261-6410
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 2, 2013
Last NPPES UpdateJanuary 14, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1063846525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in NY · 431441✔ Licensed in AL · 1-106178✔ Licensed in CT · 011504✔ Licensed in WA · AP61314864
Also ListedNurse PractitionerTaxonomy 363L00000X · License 431441 (NY)
50 LEROY ST, Potsdam, NY 13676

Secondary Practice Locations 2

Location 1134 N 4th StBrooklyn, NY 11249-3296 · Phone (215) 585-2144 · Fax (267) 780-7032
Location 2888 Swift BlvdRichland, WA 99352-3514 · Phone (509) 946-4611

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Bonner Mclain Acnp-bc 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 ID749502391
PECOS Enrollment IDI20190401000205, I20230217000899
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Matthew Mclain reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
50 LEROY STREET
Potsdam, NY 13676
  • Reassigned Medicare billing, New York enrollment
  • 414 clinicians in this Medicare group
Rural Health
2263 STATE HIGHWAY 310
Madrid, NY 13660
  • Reassigned Medicare billing, New York enrollment
  • 199 clinicians in this Medicare group
Critical Access
1 HOSPITAL DR
Massena, NY 13662
  • Reassigned Medicare billing, New York enrollment
  • 176 clinicians in this Medicare group
Critical Access
4 FULLER ST
Alexandria Bay, NY 13607
  • Reassigned Medicare billing, New York enrollment
  • 89 clinicians in this Medicare group
Emergency Medicine
1160 CHILI AVE
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 203 clinicians in this Medicare group
Hospitalist
1160 CHILI AVE STE 200
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 185 clinicians in this Medicare group
Emergency Medicine
241 NORTH RD
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 356 clinicians in this Medicare group
Internal Medicine
462 GRIDER ST
Buffalo, NY 14215
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Apogee Medical Group, New York, PC
  • 354 clinicians in this Medicare group
Internal Medicine
71 HAYNES ST
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 43 clinicians in this Medicare group
Clinical Medical Laboratory
720 20TH STREET SOUTH
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
126 services67 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.
97 services50 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.
43 services41 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.
36 services24 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.
22 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

River Hospital Clinics

Critical Access Hospitals · Alexandria Bay, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331309
Location4 Fuller StreetAlexandria Bay, NY 13607 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
Counselor (Mental Health)
50 LEROY ST
POTSDAM, NY 13676

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 Matthew Mclain's NPI number?

The NPI number for Matthew Mclain is 1063846525. It was assigned to this individual provider in the NPPES registry on September 2, 2013.

Where is Matthew Mclain located?

Matthew Mclain practices at 50 Leroy St, Potsdam, NY 13676. The listed phone number is (315) 265-3300.

What is Matthew Mclain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Matthew Mclain enrolled in Medicare?

Yes. Matthew Mclain 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.

Which organizations bill Medicare for Matthew Mclain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Mclain reassigns Medicare benefits to 10 organizations: Canton-Potsdam Hospital (Potsdam, NY), Carthage Area Hospital Inc (Madrid, NY), Massena Hospital Inc (Massena, NY), River Hospital, Inc. (Alexandria Bay, NY), Delphi Healthcare PLLC (Rochester, NY) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Mclain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Mclain accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Matthew Mclain 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.

Is Matthew Mclain affiliated with any hospitals?

According to CMS data, Matthew Mclain is affiliated with Canton-Potsdam Hospital and River Hospital Clinics.

When was this NPI record last updated?

The NPPES record for Matthew Mclain was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.