COLT MCCLAIN MD
NPI 1154647188
Pathology - Anatomic Pathology & Clinical Pathology in Nashville, TN

Q: What is Colt Mcclain's NPI number?

The NPI number for Colt Mcclain is 1154647188. It was assigned to this individual provider in the NPPES registry on April 15, 2010.

Q: What is Colt Mcclain's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Colt Mcclain was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 15, 2010PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

4220 HARDING PIKE, NASHVILLE, TN 37205(615) 222-3047(615) 222-3702 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Feb 19, 2018 (2 updates tracked since 2018).

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About Colt Mcclain Md NPPES

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

COLT MCCLAIN MD (NPI 1154647188) is an individual anatomic pathology & clinical pathology provider in Nashville, Tennessee, licensed in Tennessee (50564) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Nashville, and is a graduate of University Of Arkansas College Of Medicine (2010).

NPPES Registry Identity

NPI1154647188

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameCOLT MCCLAINCredential: MD

Location Address4220 HARDING PIKENashville, TN 37205-2005

Mailing Address2010 Church St, Suite 615Nashville, TN 37203-2012 · (615) 284-7950 · Fax (615) 284-5750

Phone(615) 222-3047

Fax(615) 222-3702

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2010

Enumeration DateApril 15, 2010

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1154647188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in TN · 50564

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 50564 (TN)

4220 HARDING PIKE, Nashville, TN 37205

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Secondary Practice Location 1

Location 14220 Harding Pike Ste 504Nashville, TN 37205-2005 · Phone (615) 298-4100

Other Identifiers 1

MedicaidQ014446TN

Accepted Insurance

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

Colt Mcclain Md 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 ID6002129582

PECOS Enrollment IDI20150714000883

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 9

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

13,037 services8,032 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

1,080 services925 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

739 services403 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

399 services373 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

282 services256 patients

Antibody evaluation, each additional single antibody stain procedure 88350

An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.

88 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37205 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Other Providers at the Same Location NPPES 19

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

DR. MARION GILBERT BOLIN M.D.

Radiology (Radiation Oncology)

4220 HARDING PIKE, DAN RUDY CANCER CENTER
NASHVILLE, TN 37205

Davidson County (615) 222-6755

THOMAS A. HUNTER M.D.

Radiology (Radiation Oncology)