DR. CLETUS J. MCMAHON JR. M.D.
NPI 1285602953
Orthopaedic Surgery in Oak Ridge, TN
NPI Status: Active since March 09, 2006
Contact Information
90 VERMONT AVE
SUITE 300
OAK RIDGE, TN
ZIP 37830
Phone: (865) 481-2541
Fax: (865) 483-8151
- Individual
- Male
- Orthopaedic Surgery
- Medicare Quality Reporting
About CLETUS MCMAHON
This page provides the complete NPI Profile along with additional information for Cletus Mcmahon, a provider established in Oak Ridge, Tennessee with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1285602953 assigned on March 2006. The practitioner's primary taxonomy code is 207X00000X with license number MD9051 (TN). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1285602953
- Provider Name
- DR. CLETUS J. MCMAHON JR. M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 90 VERMONT AVE SUITE 300 OAK RIDGE, TN 37830
- Location Phone
- (865) 481-2541
- Location Fax
- (865) 483-8151
- Mailing Address
- 90 VERMONT AVE SUITE 300 OAK RIDGE, TN 37830
- Mailing Phone
- (865) 481-2541
- Mailing Fax
- (865) 483-8151
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-09-2006
- Last Update Date
- 06-22-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD9051
- License State
- TN
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 296033 | OTHER (01) | TN | UNITED HEALTH CARE |
| 4034705 | OTHER (01) | TN | AETNA |
| 200029629 | OTHER (01) | TN | RAILROAD MEDICARE |
| 103I209262 | MEDICARE PIN (08) | TN | |
| 103I209261 | MEDICARE PIN (08) | TN | |
| 3168046 | MEDICAID (05) | TN | |
| B03258 | MEDICARE UPIN (02) | ||
| 103I206756 | MEDICARE PIN (08) | TN | |
| 3071421 | OTHER (01) | TN | BLUE CROSS BLUE SHIELD |
| 100010938 | OTHER (01) | TN | TENNCARE |
| 3168048 | MEDICARE PIN (08) | TN |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|
Reviews for DR. CLETUS J. MCMAHON JR. M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1285602953, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
OAK RIDGE, TN 37830
OAK RIDGE, TN 37830
OAK RIDGE, TN 37830
OAK RIDGE, TN 37830
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285602953, enumerated as an "individual" on March 09, 2006.
The provider is located at 90 VERMONT AVE SUITE 300 OAK RIDGE, TN 37830 and the phone number is (865) 481-2541.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Medicare, Medicaid, Aetna, Railroad Medicare and. Please consult your insurance carrier or call the provider to verify.
