JAMES MARTIN MCLEAN MD
NPI 1295799278
Physical Medicine & Rehabilitation in Hickory, NC

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
415 N CENTER ST STE 203, HICKORY, NC 28601(828) 267-8846 Get Directions Write a Review

NPPES record last updated: December 4, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 4, 2022, Oct 25, 2020, Nov 16, 2016 (3 updates tracked since 2016).

About James Martin Mclean Md NPPES

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

JAMES MARTIN MCLEAN MD (NPI 1295799278) is an individual physical medicine & rehabilitation provider in Hickory, North Carolina, licensed in North Carolina (9300231) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1989).

NPPES Registry Identity

NPI1295799278
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameJAMES MARTIN MCLEANCredential: MD
Location Address415 N CENTER ST STE 203Hickory, NC 28601-5036
Mailing Address415 N Center St Ste 203Hickory, NC 28601-5036 · (828) 267-8846
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1989
Enumeration DateApril 14, 2006
Last NPPES UpdateDecember 4, 20223 updates tracked since enumeration
NPPES CertifiedDecember 4, 2022
NPI 1295799278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in NC · 9300231
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
415 N CENTER ST STE 203, Hickory, NC 28601

Other Identifiers 1

Medicaid8957491NC

Accepted 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

James Martin Mclean 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 ID9436198538
PECOS Enrollment IDI20061110000302
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
840 services240 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
94 services92 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
59 services59 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

High Point Regional Health System

Acute Care Hospitals · High Point, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340004
Location601 N Elm StHigh Point, NC 27261 · Guilford County
Emergency services Birthing friendly

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers14 claims14 services$38.59 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims72 services$2.39 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers24 claims24 services$55.87 avg. paid by Medicare
Seat attachment, walker E0156
DME-Other DME · category DE000N
3 suppliers11 claims11 services$15.81 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
7 suppliers38 claims38 services$57.44 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
5 suppliers45 claims45 services$8.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Physician Assistant
415 N CENTER ST STE 203
HICKORY, NC 28601
Internal Medicine (Pulmonary Disease)
415 N CENTER ST STE 203
HICKORY, NC 28601
Physician Assistant
415 N CENTER ST STE 203
HICKORY, NC 28601
Hospitalist
415 N CENTER ST STE 203
HICKORY, NC 28601

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 James Mclean's NPI number?

The NPI number for James Mclean is 1295799278. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is James Mclean located?

James Mclean practices at 415 N Center St Ste 203, Hickory, NC 28601. The listed phone number is (828) 267-8846.

What is James Mclean's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is James Mclean enrolled in Medicare?

Yes. James Mclean 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.

What insurance does James Mclean accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list James Mclean 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 James Mclean affiliated with any hospitals?

According to CMS data, James Mclean is affiliated with High Point Regional Health System, Novant Health Forsyth Medical Center, North Carolina Baptist Hospital and Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for James Mclean was last updated on December 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.