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MICAH THOMAS MCCLAIN MD, PHD
NPI 1336316454
Internal Medicine - Infectious Disease in Durham, NC

Active since May 08, 2008PECOS EnrolledAccepts Medicare Assignment
600 IVY MEADOW LN, 3F, DURHAM, NC 27707(919) 684-8111 Get Directions Write a Review

NPPES record last updated: May 25, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Micah Thomas Mcclain Md, Phd NPPES

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

MICAH THOMAS MCCLAIN MD, PHD (NPI 1336316454) is an individual infectious disease provider in Durham, North Carolina, licensed in North Carolina (2010-00435) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1336316454
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameMICAH THOMAS MCCLAINCredential: MD, PHD
Location Address600 IVY MEADOW LN, 3FDurham, NC 27707-6192
Mailing Address600 Ivy Meadow Ln, 3fDurham, NC 27707-6192
Phone(919) 684-8111
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateMay 8, 2008
Last NPPES UpdateMay 25, 2010
✔ NPI 1336316454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NC · 2010-00435
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2010-00435 (NC)
600 IVY MEADOW LN, Durham, NC 27707
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Accepted Insurance

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

Micah Thomas Mcclain Md, Phd 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 ID4082747803
PECOS Enrollment IDI20100730000653
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 2

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
114 services41 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services26 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27707 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
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Micah Mcclain's NPI number?

The NPI number for Micah Mcclain is 1336316454. It was assigned to this individual provider in the NPPES registry on May 8, 2008.

Where is Micah Mcclain located?

Micah Mcclain practices at 600 Ivy Meadow Ln 3F, Durham, NC 27707. The listed phone number is (919) 684-8111.

What is Micah Mcclain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Micah Mcclain enrolled in Medicare?

Yes. Micah 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.

What insurance does Micah Mcclain accept?

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

According to CMS data, Micah Mcclain is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Micah Mcclain was last updated on May 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.