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DR. LAUREN ELIZABETH MCCLAIN M.D.
NPI 1245525724
Surgery in Albuquerque, NM

Active since June 13, 2011PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
MSC10 5610 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-9359(505) 925-1191 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 25, 2024, Jul 16, 2024, Jul 13, 2023 and 3 more (6 updates tracked since 2019).

About Dr. Lauren Elizabeth Mcclain M.d. NPPES

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

DR. LAUREN ELIZABETH MCCLAIN M.D. (NPI 1245525724) is an individual surgery provider in Albuquerque, New Mexico, licensed in New Mexico (MD2021-0947) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of University Of Mississippi School Of Medicine (2011).

NPPES Registry Identity

NPI1245525724
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. LAUREN ELIZABETH MCCLAINCredential: M.D.
Location AddressMSC10 5610 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-8708
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476 · Fax (505) 925-1191
Phone(505) 272-9359
Fax(505) 925-1191
Sole ProprietorYes
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2011
Enumeration DateJune 13, 2011
Last NPPES UpdateSeptember 25, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1245525724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NM · MD2021-0947
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
MSC10 5610 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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Other Names 1

Other Name (5)Dr. Lauren Elizabeth Mcclain Cheng M.d.

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. Lauren Elizabeth 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 ID345526455
PECOS Enrollment IDI20220202002330
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

2

Medicare enrollment records show Lauren Mcclain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unm Medical Group Inc
4.1 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303
Regents Of The University Of California
629 mi
Surgery
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 248 clinicians in this Medicare group
NPI 1740382993 (800) 926-8273

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 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 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.
27 services20 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.
16 services14 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.
13 services13 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.
12 services12 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 20

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

LAUREN MAREK
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
MICAELA RESTA
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
DEANNA GONZALEZ MD
Surgery
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
KAELYN NICOLE BROOKS
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
DR. LEAH LUCERO MD
Surgery
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
ANUSARA CAROLYN ELLEN ICE MD
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
MAAHUM MEHDI MD
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161
DR. SHANICE NAKADIA COX MD
Student in an Organized Health Care Education/Training Program
MSC10 5610 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4161

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 Lauren Mcclain's NPI number?

The NPI number for Lauren Mcclain is 1245525724. It was assigned to this individual provider in the NPPES registry on June 13, 2011. The provider is also known as Dr. Lauren Elizabeth Mcclain Cheng M.D..

Where is Lauren Mcclain located?

Lauren Mcclain practices at Msc10 5610 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-9359.

What is Lauren Mcclain's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Lauren Mcclain enrolled in Medicare?

Yes. Lauren 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 Lauren Mcclain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Mcclain reassigns Medicare benefits to 2 organizations: Unm Medical Group Inc (Albuquerque, NM) and Regents Of The University Of California (San Diego, CA). 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 Lauren Mcclain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lauren Mcclain affiliated with any hospitals?

According to CMS data, Lauren Mcclain is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Lauren Mcclain was last updated on September 25, 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.