DR. GORDON KENT MCCLAIN D.C,
NPI 1083676001
Chiropractor - Orthopedic in Lower Burrell, PA
NPI Status: Active since April 05, 2006
Contact Information
3058 LEECHBURG RD
SUITE 7
LOWER BURRELL, PA
ZIP 15068
Phone: (724) 339-8611
Fax: (724) 339-0313
- Individual
- Male
- Years of Experience 43
- Chiropractor
- Orthopedic
- Accepts Insurance
- Accepts Medicare Approved Payment
About GORDON MCCLAIN
This page provides the complete NPI Profile along with additional information for Gordon Mcclain, a provider established in Lower Burrell, Pennsylvania with a medical specialization in Chiropractor, focusing in orthopedic and more than 43 years of experience. He graduated from National College Of Chiropractic in 1983. The healthcare provider is registered in the NPI registry with number 1083676001 assigned on April 2006. The practitioner's primary taxonomy code is 111NX0800X with license number DC002749L (PA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1083676001
- Provider Name
- DR. GORDON KENT MCCLAIN D.C,
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3058 LEECHBURG RD SUITE 7 LOWER BURRELL, PA 15068
- Location Phone
- (724) 339-8611
- Location Fax
- (724) 339-0313
- Mailing Address
- 3058 LEECHBURG RD SUITE 7 LOWER BURRELL, PA 15068
- Mailing Phone
- (724) 339-8611
- Mailing Fax
- (724) 339-0313
- Medical School Name
- NATIONAL COLLEGE OF CHIROPRACTIC
- Graduation Year
- 1983
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-05-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A chiropractor like Gordon Mcclain helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor Orthopedic
- Taxonomy Code
- 111NX0800X
- Type
- Chiropractic Providers
- License No.
- DC002749L
- License State
- PA
- Taxonomy Description
- Chiropractic Orthopedics/Neuromusculoskeletal Medicine is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist/neuromusculoskeletal medicine specialist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist/neuromusculoskeletal medicine specialist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| T29246 | MEDICARE UPIN (02) | PA | |
| 120849 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA |
Medicare Participation & PECOS Enrollment Status
Gordon Mcclain is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 7315018900
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20080625000740
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083676001, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
LOWER BURRELL, PA 15068
LOWER BURRELL, PA 15068
LOWER BURRELL, PA 15068
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083676001, enumerated as an "individual" on April 05, 2006.
The provider is located at 3058 LEECHBURG RD SUITE 7 LOWER BURRELL, PA 15068 and the phone number is (724) 339-8611.
Chiropractor with taxonomy code 111NX0800X and a focus in Orthopedic.
The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
