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MICHAEL ALBERT MCCLAIN D.O.
NPI 1073871992
Anesthesiology in Pikeville, KY

Active since April 28, 2012PECOS EnrolledAccepts Medicare Assignment
59.46/100
CMS Quality Rating
911 BYPASS RD, PIKEVILLE, KY 41501(606) 218-3500 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Albert Mcclain D.o. NPPES

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

MICHAEL ALBERT MCCLAIN D.O. (NPI 1073871992) is an individual anesthesiology provider in Pikeville, Kentucky, licensed in Kentucky (03991) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Tristar Greenview Regional Hospital, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1073871992
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMICHAEL ALBERT MCCLAINCredential: D.O.
Location Address911 BYPASS RDPikeville, KY 41501-1689
Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 218-3500
Phone(606) 218-3500
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2012
Enumeration DateApril 28, 2012
Last NPPES UpdateJuly 6, 2016
✔ NPI 1073871992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in KY · 03991
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
911 BYPASS RD, Pikeville, KY 41501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, Oscar Insurance Company.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

Michael Albert Mcclain D.o. 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 ID2668791476
PECOS Enrollment IDI20160812002300
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 10

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
51 services48 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
50 services50 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
44 services44 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
33 services33 patients
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
32 services32 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
27 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Tristar Greenview Regional Hospital

Acute Care Hospitals · Bowling Green, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180124
Location1801 Ashley CircleBowling Green, KY 42104 · Warren County
Emergency services

The Medical Center At Scottsville

Critical Access Hospitals · Scottsville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181324
Location456 Burnley RoadScottsville, KY 42164 · Allen County
Emergency services

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.

59.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.31
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.

ABDEL RAHMAN LATAIFEH MBBS
Internal Medicine (Critical Care Medicine)
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-4524
SELINA A. HOLLEY DIETITIAN
Dietitian, Registered
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-3500
YOUSOF E ELGARIED MBBS
Internal Medicine (Pulmonary Disease)
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-3500
MICHELLE RENEE SCEARSE APRN
Nurse Practitioner (Family)
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-3500
LESLIE A. ARNETT APRN
Nurse Practitioner
911 BYPASS RD, CLINIC 2
PIKEVILLE, KY 41501
Pike County (606) 218-6402
AARON RATLIFF PHARMD
Pharmacist
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-3576
MICHAEL D LUDLOW APRN
Nurse Practitioner
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-3500
PIKEVILLE MEDICAL CENTER, INC.
Nurse Anesthetist, Certified Registered
911 BYPASS RD
PIKEVILLE, KY 41501
Pike County (606) 218-3500

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 Mcclain's NPI number?

The NPI number for Michael Mcclain is 1073871992. It was assigned to this individual provider in the NPPES registry on April 28, 2012.

Where is Michael Mcclain located?

Michael Mcclain practices at 911 Bypass Rd, Pikeville, KY 41501. The listed phone number is (606) 218-3500.

What is Michael Mcclain's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Michael Mcclain enrolled in Medicare?

Yes. Michael 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 Michael Mcclain accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource and Oscar Insurance Company list Michael 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.

Is Michael Mcclain affiliated with any hospitals?

According to CMS data, Michael Mcclain is affiliated with Tristar Greenview Regional Hospital and The Medical Center At Scottsville.

When was this NPI record last updated?

The NPPES record for Michael Mcclain was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.