JOHN MARK MCLAIN MD
NPI 1366857336
Surgery in New Braunfels, TX

Active since June 27, 2014PECOS EnrolledAccepts Medicare Assignment
545 CREEKSIDE XING STE 222, NEW BRAUNFELS, TX 78130(830) 310-3491(830) 310-3506 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2026, Mar 5, 2025, Jul 12, 2023 (3 updates tracked since 2023).

About John Mark Mclain Md NPPES

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

JOHN MARK MCLAIN MD (NPI 1366857336) is an individual surgery provider in New Braunfels, Texas, licensed in Texas (S5985) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Guadalupe Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1366857336
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOHN MARK MCLAINCredential: MD
Location Address545 CREEKSIDE XING STE 222New Braunfels, TX 78130-4565
Mailing Address8711 Village Dr Ste 114San Antonio, TX 78217-5419 · (210) 297-2244 · Fax (210) 297-2257
Fax(830) 310-3506
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2014
Enumeration DateJune 27, 2014
Last NPPES UpdateApril 22, 20263 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
NPI 1366857336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TX · S5985
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.

545 CREEKSIDE XING STE 222, New Braunfels, TX 78130

Secondary Practice Locations 4

Location 11924 Alcoa Hwy # U-11Knoxville, TN 37920-1511 · Phone (865) 305-9230 · Fax (865) 305-8894
Location 2105 Medical Ste 200Seguin, TX 78155-5392 · Phone (512) 353-6400
Location 31659 Interstate 35 S Ste 105New Braunfels, TX 78130-6826 · Phone (830) 643-7900
Location 41305 Wonder World Dr Ste 300San Marcos, TX 78666-7541 · Phone (512) 353-6400

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

John Mark Mclain 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 ID9133470404
PECOS Enrollment IDI20200813000604
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.

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.
48 services48 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.
35 services28 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.
31 services30 patients
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.
20 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number450104
Location1215 E Court StSeguin, TX 78155 · Guadalupe County
Emergency services Birthing friendly

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

Resolute Health Hospital

Acute Care Hospitals · New Braunfels, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670098
Location555 Creekside Xing,New Braunfels, TX 78130 · Comal County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78130 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES

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

Internal Medicine (Clinical Cardiac Electrophysiology)
545 CREEKSIDE XING STE 222
NEW BRAUNFELS, TX 78130

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 John Mclain's NPI number?

The NPI number for John Mclain is 1366857336. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Where is John Mclain located?

John Mclain practices at 545 Creekside Xing Ste 222, New Braunfels, TX 78130. The listed phone number is (830) 310-3491.

What is John Mclain's specialty?

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

Is John Mclain enrolled in Medicare?

Yes. John Mclain 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 John Mclain accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc. and Molina Healthcare and 2 other insurers list John Mclain 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 John Mclain affiliated with any hospitals?

According to CMS data, John Mclain is affiliated with Guadalupe Regional Medical Center, Christus Santa Rosa Hospital-San Marcos and Resolute Health Hospital.

When was this NPI record last updated?

The NPPES record for John Mclain was last updated on April 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.