DR. EVAN LEE MCCLENNEN D.O.
NPI 1467891101
Obstetrics & Gynecology in Wilkes Barre, PA

Q: What is Evan Mcclennen's NPI number?

The NPI number for Evan Mcclennen is 1467891101. It was assigned to this individual provider in the NPPES registry on June 16, 2013.

Q: What is Evan Mcclennen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Mcclennen was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 16, 2013PECOS EnrolledAccepts Medicare Assignment

1155 E MOUNTAIN BLVD, WILKES BARRE, PA 18702(570) 808-7916 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 31, 2020, Aug 21, 2017 (2 updates tracked since 2017).

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About Dr. Evan Lee Mcclennen D.o. NPPES

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

DR. EVAN LEE MCCLENNEN D.O. (NPI 1467891101) is an individual obstetrics & gynecology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OS018839) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1467891101

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. EVAN LEE MCCLENNENCredential: D.O.

Location Address1155 E MOUNTAIN BLVDWilkes Barre, PA 18702-3377

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144

Phone(570) 808-7916

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2013

Enumeration DateJune 16, 2013

Last NPPES UpdateAugust 31, 20202 updates tracked since enumeration

NPPES CertifiedAugust 31, 2020

✔ NPI 1467891101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in PA · OS018839✔ Licensed in PA · OT015408

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1155 E MOUNTAIN BLVD, Wilkes Barre, PA 18702

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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

Dr. Evan Lee Mcclennen D.o. 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 ID8820385230

PECOS Enrollment IDI20170816000638

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.

Hospital Affiliations CMS Care Compare 2

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390001

Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County

Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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 20

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

MRS. CAROLYN TERESA CLARK RN BSN

Registered Nurse