TAM PHAM MCLEAN
NPI 1114260122
Family Medicine in Willoughby, OH

Q: What is Tam Mclean's NPI number?

The NPI number for Tam Mclean is 1114260122. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Q: What is Tam Mclean's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tam Mclean was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 28, 2013PECOS EnrolledAccepts Medicare Assignment

5105 SOM CENTER RD, #106, WILLOUGHBY, OH 44094(440) 953-5740(440) 953-5741 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2021, Feb 8, 2016 (2 updates tracked since 2016).

On this page

About Tam Pham Mclean NPPES

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

TAM PHAM MCLEAN (NPI 1114260122) is an individual family medicine provider in Willoughby, Ohio, licensed in Ohio (35.127316) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Lake Health, and is a graduate of Northeastern Ohio University College Of Medicine (2013).

NPPES Registry Identity

NPI1114260122

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTAM PHAM MCLEAN

Location Address5105 SOM CENTER RD, #106Willoughby, OH 44094-4203

Mailing Address7590 Auburn Road, Suite 014, Attn: Med StaffConcord Twp, OH 44077-9176 · (440) 354-1899 · Fax (440) 354-1845

Phone(440) 953-5740

Fax(440) 953-5741

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2013

Enumeration DateMarch 28, 2013

Last NPPES UpdateMarch 3, 20212 updates tracked since enumeration

NPPES CertifiedMarch 3, 2021

✔ NPI 1114260122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35.127316

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.

5105 SOM CENTER RD, Willoughby, OH 44094

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Other Identifiers 1

Medicaid'0190167OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.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

Tam Pham Mclean 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 ID2466730676

PECOS Enrollment IDI20161021002133

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 3

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.

104 services66 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.

60 services60 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.

23 services23 patients

Hospital Affiliations CMS Care Compare

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

Lake Health

Acute Care Hospitals · Concord, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360098

Location7590 Auburn RoadConcord, OH 44077 · Lake County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44094 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 18

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

DR. MARY GRACE PURISIMA M.D.

Internal Medicine

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (216) 524-7377

DR. JAMES SCOTT LANE M.D.

Ophthalmology

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (216) 524-7377

JULIA LYNN THOMAS

Pharmacist

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (440) 953-5711

HEALTHSPAN PHYSICIANS, LLC

Durable Medical Equipment & Medical Supplies

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (440) 953-5774

KIMBERLY ANN SVEC FNP-C

Nurse Practitioner (Family)

5105 SOM CENTER RD, # 106
WILLOUGHBY, OH 44094

Lake County (440) 953-5740

LORI A PROVENZANO

Case Manager/Care Coordinator

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (440) 975-4646

MRS. LAURIE L DEMETER RPH

Pharmacist

5105 SOM CENTER RD, PHARMACY
WILLOUGHBY, OH 44094

Lake County (440) 667-1077

AMY D LOWER C.N.P.

Nurse Practitioner

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (440) 255-5571

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 Tam Mclean's NPI number?

The NPI number for Tam Mclean is 1114260122. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Tam Mclean located?

Tam Mclean practices at 5105 Som Center Rd #106, Willoughby, OH 44094. The listed phone number is (440) 953-5740.

What is Tam Mclean's specialty?

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

Is Tam Mclean enrolled in Medicare?

Yes. Tam Mclean 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 Tam Mclean accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Tam Mclean 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 Tam Mclean affiliated with any hospitals?

According to CMS data, Tam Mclean is affiliated with Lake Health.

When was this NPI record last updated?

The NPPES record for Tam Mclean was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.