DR. MICHAEL S MCCLINCY M.D.
NPI 1073504130
Family Medicine in Charlottesville, VA

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment
315 10TH ST NE, CHARLOTTESVILLE, VA 22902(434) 654-1950(434) 977-9808 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2021, Jun 2, 2021 (2 updates tracked since 2021).

About Dr. Michael S Mcclincy M.d. NPPES

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

DR. MICHAEL S MCCLINCY M.D. (NPI 1073504130) is an individual family medicine provider in Charlottesville, Virginia, licensed in Virginia (0101271881) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1994).

NPPES Registry Identity

NPI1073504130
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL S MCCLINCYCredential: M.D.
Location Address315 10TH ST NECharlottesville, VA 22902-5316
Mailing AddressPo Box 79777Baltimore, MD 21279-0777 · (434) 654-7794 · Fax (434) 977-9808
Fax(434) 977-9808
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1994
Enumeration DateOctober 28, 2005
Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
NPI 1073504130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in VA · 0101271881 Licensed in WA · 46474
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

315 10TH ST NE, Charlottesville, VA 22902

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. Michael S Mcclincy M.d. 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 ID2668574229
PECOS Enrollment IDI20210504001145
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 16

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.

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.
699 services481 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
441 services441 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
413 services272 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
151 services151 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
151 services151 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
121 services11 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22902 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers19 claims38 services$5.59 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$175.87 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 7

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

Community/Behavioral Health
315 10TH ST NE
CHARLOTTESVILLE, VA 22902
Psychiatry & Neurology (Psychiatry)
315 10TH ST NE
CHARLOTTESVILLE, VA 22902
Family Medicine
315 10TH ST NE
CHARLOTTESVILLE, VA 22902
Family Medicine
315 10TH ST NE
CHARLOTTESVILLE, VA 22902
Family Medicine
315 10TH ST NE
CHARLOTTESVILLE, VA 22902
Family Medicine
315 10TH ST NE
CHARLOTTESVILLE, VA 22902
Family Medicine
315 10TH ST NE
CHARLOTTESVILLE, VA 22902

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 Michael Mcclincy's NPI number?

The NPI number for Michael Mcclincy is 1073504130. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Michael Mcclincy located?

Michael Mcclincy practices at 315 10th St NE, Charlottesville, VA 22902. The listed phone number is (434) 654-1950.

What is Michael Mcclincy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Mcclincy enrolled in Medicare?

Yes. Michael Mcclincy 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 Michael Mcclincy accept?

Health plans from PacificSource Health Plans list Michael Mcclincy 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 Michael Mcclincy affiliated with any hospitals?

According to CMS data, Michael Mcclincy is affiliated with University Of Virginia Medical Center and Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Michael Mcclincy was last updated on July 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.