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MS. LISA MARIE MCCLURE FNP-C
NPI 1083013353
Nurse Practitioner - Family in South Charleston, WV

Active since August 22, 2014PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
500 POPLAR ST, SUITE 202, SOUTH CHARLESTON, WV 25309(304) 346-2121(304) 346-2176 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2021, Jan 8, 2021 (2 updates tracked since 2021).

About Ms. Lisa Marie Mcclure Fnp-c NPPES

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

MS. LISA MARIE MCCLURE FNP-C (NPI 1083013353) is an individual family provider in South Charleston, West Virginia, licensed in West Virginia (APRN76097NP) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in South Charleston.

NPPES Registry Identity

NPI1083013353
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. LISA MARIE MCCLURECredential: FNP-C
Location Address500 POPLAR ST, SUITE 202South Charleston, WV 25309-1474
Mailing Address4605 Maccorkle Ave SwSouth Charleston, WV 25309-1311 · (304) 414-4800 · Fax (304) 414-4801
Phone(304) 346-2121
Fax(304) 346-2176
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 22, 2014
Last NPPES UpdateDecember 29, 20212 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1083013353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · APRN76097NP
500 POPLAR ST, South Charleston, WV 25309
Open in Google Maps ↗

Secondary Practice Location 1

Location 14605 MacCorkle Ave SWSouth Charleston, WV 25309-1311 · Phone (304) 414-4800 · Fax (304) 414-4801

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Ms. Lisa Marie Mcclure Fnp-c 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 ID9739301466
PECOS Enrollment IDI20141113001935
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 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.

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.
272 services124 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
163 services20 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
80 services38 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
61 services14 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.
20 services14 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Logan Regional Medical Center

Acute Care Hospitals · Logan, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510048
Location20 Hospital DriveLogan, WV 25601 · Logan County
Emergency services Birthing friendly

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV
OwnershipGovernment - Local
CMS Certification Number511313
Location701 Madison AvenueMadison, WV 25130 · Boone County
Emergency services

Jackson General Hospital

Critical Access Hospitals · Ripley, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511320
Location122 Pinnell StRipley, WV 25271 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
10%345 patients1/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
1%526 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
7%531 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
0%466 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
86%256 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
8%256 patients1/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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
16 suppliers49 claims164 services$6.61 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers30 claims49 services$1.15 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
9 suppliers202 claims203 services$193.11 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
5 suppliers17 claims17 services$201.53 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 12

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

COMPREHENSIVE SURGICAL ASSOCIATES PLLC
Surgery
500 POPLAR ST, SUITE 304
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-3600
MOUNTAIN PRIDE ORTHOPAEDICS
Orthopaedic Surgery
500 POPLAR ST, SUITE 303
CHARLESTON, WV 25309
Kanawha County (304) 766-7374
REBECCA ANN ASHWORTH MSN, APRN, FNP-C
Nurse Practitioner
500 POPLAR ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-4350
JOHNNA MICHELLE JACKSON D.O.
Surgery
500 POPLAR ST, SUITE 304
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 767-7770
MOUNTAINEER FAMILY MEDICINE, INC.
Family Medicine
500 POPLAR ST, SUITE 204
CHARLESTON, WV 25309
Kanawha County (304) 767-7840
RICHARD W CRADDOCK PA-C
Physician Assistant
500 POPLAR ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 342-3891
GRETA VIRGINIA GUYER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
500 POPLAR ST, SUITE 202
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 346-2121
MATTHEW LORING PARSONS PA-C
Physician Assistant (Medical)
500 POPLAR ST, SUITE 303
CHARLESTON, WV 25309
Kanawha County (304) 766-7374

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 Lisa Mcclure's NPI number?

The NPI number for Lisa Mcclure is 1083013353. It was assigned to this individual provider in the NPPES registry on August 22, 2014.

Where is Lisa Mcclure located?

Lisa Mcclure practices at 500 Poplar St Suite 202, South Charleston, WV 25309. The listed phone number is (304) 346-2121.

What is Lisa Mcclure's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Mcclure enrolled in Medicare?

Yes. Lisa Mcclure 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 Lisa Mcclure accept?

Health plans from CareSource list Lisa Mcclure 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 Lisa Mcclure affiliated with any hospitals?

According to CMS data, Lisa Mcclure is affiliated with Charleston Area Medical Center, Thomas Memorial Hospital, Logan Regional Medical Center, Boone Memorial Hospital and Jackson General Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Mcclure was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.