WILLIAM T MCCLURE MD
NPI 1548218456
Family Medicine in Madisonville, KY

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
200 CLINIC DR, MADISONVILLE, KY 42431(270) 825-7200 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About William T Mcclure Md NPPES

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

WILLIAM T MCCLURE MD (NPI 1548218456) is an individual family medicine provider in Madisonville, Kentucky, licensed in Kentucky (KY28164) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Deaconess Madisonville, and is a graduate of University Of Kentucky College Of Medicine (1985).

NPPES Registry Identity

NPI1548218456
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM T MCCLURECredential: MD
Location Address200 CLINIC DRMadisonville, KY 42431-1661
Mailing Address200 Clinic DrMadisonville, KY 42431-1661 · (270) 825-7200
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1985
Enumeration DateMay 4, 2006
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1548218456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · KY28164
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 CLINIC DR, Madisonville, KY 42431

Other Identifiers 2

OtherKY28164KY · License
Medicaid64281645KY

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

William T Mcclure 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 ID5496708141
PECOS Enrollment IDI20050223000146
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 3

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.

X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
35 services35 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
21 services21 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180093
Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

Case Manager/Care Coordinator
200 CLINIC DR
MADISONVILLE, KY 42431
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Psychiatry & Neurology (Neurology)
200 CLINIC DR
MADISONVILLE, KY 42431
Internal Medicine (Nephrology)
200 CLINIC DR
MADISONVILLE, KY 42431
Orthopaedic Surgery
200 CLINIC DR
MADISONVILLE, KY 42431
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Counselor
200 CLINIC DR
MADISONVILLE, KY 42431
200 CLINIC DR
MADISONVILLE, KY 42431

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 William Mcclure's NPI number?

The NPI number for William Mcclure is 1548218456. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is William Mcclure located?

William Mcclure practices at 200 Clinic Dr, Madisonville, KY 42431. The listed phone number is (270) 825-7200.

What is William Mcclure's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Mcclure enrolled in Medicare?

Yes. William Mcclure 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 William Mcclure accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list William Mcclure 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 William Mcclure affiliated with any hospitals?

According to CMS data, William Mcclure is affiliated with Baptist Health Deaconess Madisonville.

When was this NPI record last updated?

The NPPES record for William Mcclure was last updated on December 9, 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.