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DR. PAUL DAVID MCCLAIN M.D.
NPI 1235470261
Urology in Winston Salem, NC

Active since March 15, 2013PECOS EnrolledAccepts Medicare Assignment
140 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103(336) 245-2100(336) 768-7782 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2024, Jul 30, 2018 (2 updates tracked since 2018).

About Dr. Paul David Mcclain M.d. NPPES

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

DR. PAUL DAVID MCCLAIN M.D. (NPI 1235470261) is an individual urology provider in Winston Salem, North Carolina, licensed in North Carolina (2022-00751) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235470261
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. PAUL DAVID MCCLAINCredential: M.D.
Location Address140 KIMEL PARK DR STE 100Winston Salem, NC 27103-6185
Mailing AddressPo Box 751803Charlotte, NC 28275-1803
Phone(336) 245-2100
Fax(336) 768-7782
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 15, 2013
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1235470261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in NC · 2022-00751✔ Licensed in VA · 0101256879
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
140 KIMEL PARK DR STE 100, Winston Salem, NC 27103
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Secondary Practice Locations 2

Location 1Naval Medical Center, 100 Brewster Blvd.Camp Lejeune, NC 28547-2538 · Phone (910) 450-4829 · Fax (910) 450-4865
Location 22010 Baldwin LnWinston Salem, NC 27103-5846 · Phone (336) 277-1717 · Fax (336) 277-1718

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul David Mcclain 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 ID7012217516
PECOS Enrollment IDI20220602002216
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Paul Mcclain reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Forsyth Memorial Hospital, Inc
Same address
Urology
140 KIMEL PARK DR STE 100
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
NPI 1235629890 (336) 245-2100
Novant Health Medical Group, LLC
Same address
Psychiatry
140 KIMEL PARK DR STE 200
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1235666231 (704) 316-7585
Piedmont Stone Center PLLC
1.2 mi
Lithotripsy
1907 SOUTH HAWTHORNE RD
Winston-salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 80 clinicians in this Medicare group
NPI 1700827409 (336) 765-6373

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.
201 services161 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
104 services104 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.
47 services39 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
38 services37 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
33 services21 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Novant Health Medical Park Hospital

Acute Care Hospitals · Winston-Salem, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340148
Location1950 S Hawthorne RdWinston-Salem, NC 27103 · Forsyth County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 8

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

HELEN KALIM ANDRAOS PA-C
Physician Assistant
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
LUISA FERNANDEZ PA-C
Physician Assistant
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
FORSYTH MEMORIAL HOSPITAL, INC
Urology
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
OLIVER BENTON IV MD
Urology
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
JOHN ROBERT SCHWABE M.D.
Urology
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
MS. KELSEY KILLEEN SMITH PA-C
Physician Assistant
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
JOHN GREGORY ALBRITTON NP
Nurse Practitioner
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
NOVANT MEDICAL GROUP INC
Urology
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100

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 Paul Mcclain's NPI number?

The NPI number for Paul Mcclain is 1235470261. It was assigned to this individual provider in the NPPES registry on March 15, 2013.

Where is Paul Mcclain located?

Paul Mcclain practices at 140 Kimel Park Dr Ste 100, Winston Salem, NC 27103. The listed phone number is (336) 245-2100.

What is Paul Mcclain's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Paul Mcclain enrolled in Medicare?

Yes. Paul Mcclain 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.

Which organizations bill Medicare for Paul Mcclain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Mcclain reassigns Medicare benefits to 3 organizations: Forsyth Memorial Hospital, Inc (Winston Salem, NC), Novant Health Medical Group, LLC (Winston Salem, NC) and Piedmont Stone Center PLLC (Winston-salem, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Mcclain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Mcclain accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Paul Mcclain 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 Paul Mcclain affiliated with any hospitals?

According to CMS data, Paul Mcclain is affiliated with Novant Health Forsyth Medical Center and Novant Health Medical Park Hospital.

When was this NPI record last updated?

The NPPES record for Paul Mcclain was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.