DR. MARK ALLEN MCCLANAHAN M.D.
NPI 1093840811
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fredericksburg, VA

Q: What is Mark Mcclanahan's NPI number?

The NPI number for Mark Mcclanahan is 1093840811. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Q: What is Mark Mcclanahan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Mark Mcclanahan was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since February 22, 2007PECOS EnrolledAccepts Medicare Assignment

10711 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408(540) 891-8499 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mark Allen Mcclanahan M.d. NPPES

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

DR. MARK ALLEN MCCLANAHAN M.D. (NPI 1093840811) is an individual endocrinology, diabetes & metabolism provider in Fredericksburg, Virginia, licensed in Virginia (0101041309) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (1986).

NPPES Registry Identity

NPI1093840811

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. MARK ALLEN MCCLANAHANCredential: M.D.

Location Address10711 SPOTSYLVANIA AVEFredericksburg, VA 22408-2674

Mailing Address10711 Spotsylvania AveFredericksburg, VA 22408-2674 · (540) 891-8499

Phone(540) 891-8499

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1986

Enumeration DateFebruary 22, 2007

Last NPPES UpdateApril 6, 2011

✔ NPI 1093840811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in VA · 0101041309

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

10711 SPOTSYLVANIA AVE, Fredericksburg, VA 22408

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Other Identifiers 3

Medicare PIN460000004VA

Medicaid6079041VA

Medicare UPIND93704VA

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. Mark Allen Mcclanahan 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 ID5092991398

PECOS Enrollment IDI20110523000372

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 11

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.

3,218 services1,376 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

2,403 services874 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

2,300 services858 patients

Blood glucose (sugar) level 82947

A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.

1,696 services670 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.

857 services327 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.

273 services223 patients

Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment 77085

A DXA bone density measurement is a non-invasive scan that helps assess the strength of your bones, specifically in the hip, pelvis, and spine areas. It can detect early signs of osteoporosis and evaluate fracture risk. This test uses low-dose X-rays for accurate results.

189 services189 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

143 services143 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

98 services79 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

72 services67 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250

This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.

28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490022

Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County

Emergency services Birthing friendly

Fauquier Hospital

Acute Care Hospitals · Warrenton, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490023

Location500 Hospital DriveWarrenton, VA 20186 · Fauquier County

Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490140

Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22408 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

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 11

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

11 suppliers64 claims864 services$17.91 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

10 suppliers66 claims2,127 services$2.30 avg. paid by Medicare

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238

DME-Medical/Surgical Supplies · category DA000N

1 supplier14 claims14 services$169.42 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

57 suppliers381 claims1,324 services$6.28 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

4 suppliers45 claims45 services$2.81 avg. paid by Medicare

Spring-powered device for lancet, each A4258

DME-Other DME · category DE000N

5 suppliers20 claims20 services$1.84 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 2

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

MR. BRYAN SCOTT URQUHART PA-C

Physician Assistant (Medical)

10711 SPOTSYLVANIA AVE
FREDERICKSBURG, VA 22408

Spotsylvania County (540) 891-8499

DIABETES AND THYROID ASSOCIATES PC

Clinic/Center (Medical Specialty)

10711 SPOTSYLVANIA AVE
FREDERICKSBURG, VA 22408

Spotsylvania County (540) 891-8499

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 Mark Mcclanahan's NPI number?

The NPI number for Mark Mcclanahan is 1093840811. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Mark Mcclanahan located?

Mark Mcclanahan practices at 10711 Spotsylvania Ave, Fredericksburg, VA 22408. The listed phone number is (540) 891-8499.

What is Mark Mcclanahan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Mark Mcclanahan enrolled in Medicare?

Yes. Mark Mcclanahan 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.

Is Mark Mcclanahan affiliated with any hospitals?

According to CMS data, Mark Mcclanahan is affiliated with Mary Washington Hospital, Fauquier Hospital and Stafford Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Mark Mcclanahan was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.