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NATHAN MCCLANE MD, MA
NPI 1588125397
Surgery in Phoenix, AZ

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment
720 E THUNDERBIRD RD STE 3, PHOENIX, AZ 85022(480) 531-1681 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nathan Mcclane Md, Ma NPPES

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

NATHAN MCCLANE MD, MA (NPI 1588125397) is an individual surgery provider in Phoenix, Arizona, licensed in Arizona (72686) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2019).

NPPES Registry Identity

NPI1588125397
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameNATHAN MCCLANECredential: MD, MA
Location Address720 E THUNDERBIRD RD STE 3Phoenix, AZ 85022-5396
Mailing Address16772 W Bell Rd Ste 110-619Surprise, AZ 85374-9702 · (909) 632-3409
Phone(480) 531-1681
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2019
Enumeration DateMarch 26, 2019
Last NPPES UpdateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1588125397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · 72686
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
720 E THUNDERBIRD RD STE 3, Phoenix, AZ 85022
Open in Google Maps ↗

Secondary Practice Location 1

Location 19201 N 5th StPhoenix, AZ 85020-2532 · Phone (480) 882-4545 · Fax (602) 870-6348

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathan Mcclane Md, Ma 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 ID6204165038
PECOS Enrollment IDI20240604001726
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nathan Mcclane reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Honorhealth Ambulatory
2.6 mi
Physical Medicine & Rehabilitation
9250 N 3RD ST STE 2015
Phoenix, AZ 85020
  • Reassigned Medicare billing, Arizona enrollment
  • 822 clinicians in this Medicare group
NPI 1609490598 (602) 786-0030
Shirah Surgical PLLC
2.7 mi
Trauma Surgery
250 E DUNLAP AVE
Phoenix, AZ 85020
  • Reassigned Medicare billing, Arizona enrollment
  • 8 clinicians in this Medicare group
NPI 1275311870 (480) 531-1681

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
111 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services16 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.
18 services18 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
16 services13 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.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85022 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

ARIZONA PRIMARY CARE PARTNERS LLC
Internal Medicine
720 E THUNDERBIRD RD STE 3
PHOENIX, AZ 85022
Maricopa County (602) 844-4855

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 Nathan Mcclane's NPI number?

The NPI number for Nathan Mcclane is 1588125397. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Nathan Mcclane located?

Nathan Mcclane practices at 720 E Thunderbird Rd Ste 3, Phoenix, AZ 85022. The listed phone number is (480) 531-1681.

What is Nathan Mcclane's specialty?

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

Is Nathan Mcclane enrolled in Medicare?

Yes. Nathan Mcclane 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.

Which organizations bill Medicare for Nathan Mcclane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Mcclane reassigns Medicare benefits to 2 organizations: Honorhealth Ambulatory (Phoenix, AZ) and Shirah Surgical PLLC (Phoenix, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Mcclane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Mcclane accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Nathan Mcclane 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.

When was this NPI record last updated?

The NPPES record for Nathan Mcclane was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.