MS. TONYA MCCLAIN PNP
NPI 1336404052
Nurse Practitioner - Pediatrics in Dexter, MO

Q: What is Tonya Mcclain's NPI number?

The NPI number for Tonya Mcclain is 1336404052. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Q: What is Tonya Mcclain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Tonya Mcclain was last updated on August 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 09, 2012PECOS Enrolled

610 N ONE MILE RD, DEXTER, MO 63841(573) 624-3600 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2020, Sep 29, 2015 (2 updates tracked since 2015).

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About Ms. Tonya Mcclain Pnp NPPES

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

MS. TONYA MCCLAIN PNP (NPI 1336404052) is an individual pediatrics provider in Dexter, Missouri, licensed in Missouri (123970) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336404052

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. TONYA MCCLAINCredential: PNP

Location Address610 N ONE MILE RDDexter, MO 63841-2539

Mailing Address610 N One Mile RdDexter, MO 63841-2539 · (573) 624-3600

Phone(573) 624-3600

Sole ProprietorNo

Enumeration DateJuly 9, 2012

Last NPPES UpdateAugust 31, 20202 updates tracked since enumeration

NPPES CertifiedAugust 31, 2020

✔ NPI 1336404052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MO · 123970

610 N ONE MILE RD, Dexter, MO 63841

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tonya Mcclain Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63841 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%36 patients5/55-star benchmark: 100%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

24%704 patients2/55-star benchmark: 88%

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

Patients nutrition: 0% · 788 patients

Patients physicalActivity: 1% · 788 patients

99%788 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 5

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

NEAL W GARNER D.O.

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