1. Home
  2. Directory
  3. California
  4. Sonora
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JACK LEROY STCLAIR M.D.
NPI 1184681298
Family Medicine - Adult Medicine in Sonora, CA

Active since May 01, 2006PECOS Enrolled
79.22/100
CMS Quality Rating
14540 MONO WAY, SONORA, CA 95370(209) 743-7084(209) 928-5615 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack Leroy Stclair M.d. NPPES

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

JACK LEROY STCLAIR M.D. (NPI 1184681298) is an individual adult medicine provider in Sonora, California, licensed in California (A76427) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1184681298
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameJACK LEROY STCLAIRCredential: M.D.
Location Address14540 MONO WAYSonora, CA 95370-8858
Mailing AddressPo Box 4264Sonora, CA 95370-4264
Phone(209) 743-7084
Fax(209) 928-5615
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 1, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1184681298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · A76427
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

14540 MONO WAY, Sonora, CA 95370
Open in Google Maps ↗

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

Jack Leroy Stclair 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 ID5799721502
PECOS Enrollment IDI20050701000533
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 5

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 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.
88 services87 patients
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.
39 services38 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services19 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services15 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95370 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

79.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.14
Promoting Interoperability97
Improvement Activities40
Cost47.11

Other Providers at the Same Location NPPES 3

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

DR. WILLIAM STUART BOWIE M.D.
Emergency Medicine
14540 MONO WAY
SONORA, CA 95370
Tuolumne County (209) 532-3167
ADVENTIST HEALTH PHYSICIANS NETWORK
Clinic/Center (Urgent Care)
14540 MONO WAY
SONORA, CA 95370
Tuolumne County (209) 536-6680
SONORA COMMUNITY HOSPITAL
Clinic/Center (Urgent Care)
14540 MONO WAY
SONORA, CA 95370
Tuolumne County (209) 532-3167

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 Jack Stclair's NPI number?

The NPI number for Jack Stclair is 1184681298. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Jack Stclair located?

Jack Stclair practices at 14540 Mono Way, Sonora, CA 95370. The listed phone number is (209) 743-7084.

What is Jack Stclair's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Jack Stclair enrolled in Medicare?

Yes. Jack Stclair 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.

When was this NPI record last updated?

The NPPES record for Jack Stclair was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.