MATTHEW MCCLANAHAN M.D.
NPI 1609175579
Internal Medicine in Covington, LA

Q: What is Matthew Mcclanahan's NPI number?

The NPI number for Matthew Mcclanahan is 1609175579. It was assigned to this individual provider in the NPPES registry on March 17, 2011.

Q: What is Matthew Mcclanahan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 17, 2011PECOS EnrolledAccepts Medicare Assignment

1202 S TYLER ST, COVINGTON, LA 70433(985) 898-4000 Get Directions Write a Review

NPPES record last updated: October 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Matthew Mcclanahan M.d. NPPES

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

MATTHEW MCCLANAHAN M.D. (NPI 1609175579) is an individual internal medicine provider in Covington, Louisiana, licensed in Louisiana (MD.207948) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with St Tammany Parish Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1609175579

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMATTHEW MCCLANAHANCredential: M.D.

Location Address1202 S TYLER STCovington, LA 70433-2330

Mailing Address250 Evangeline DrMandeville, LA 70471-1882 · (806) 535-3781

Phone(985) 898-4000

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 17, 2011

Last NPPES UpdateOctober 8, 2018

✔ NPI 1609175579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in LA · MD.207948

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1202 S TYLER ST, Covington, LA 70433

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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

Matthew Mcclanahan M.d. 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 ID2062653389

PECOS Enrollment IDI20150730013475

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

Medicare enrollment records show Matthew Mcclanahan reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Tammany Parish Hospital Service District No 1

Same address

General Acute Care Hospital

1202 S TYLER ST
Covington, LA 70433

Reassigned Medicare billing, Louisiana enrollment
183 clinicians in this Medicare group

NPI 1598798597 (985) 898-4000

Matthew Mcclanahan Apmllc

5.0 mi

Hospitalist

250 EVANGELINE DR
Mandeville, LA 70471

Reassigned Medicare billing, Louisiana enrollment
2 clinicians in this Medicare group

NPI 1497235949 (806) 535-3781

Belle Chasse Physician Services LLC

41 mi

Hospitalist

2500 BELLE CHASSE HWY
Terrytown, LA 70056

Reassigned Medicare billing, Louisiana enrollment
417 clinicians in this Medicare group

NPI 1245653237 (800) 893-9698

Mayfair Physician Services, LLC

53 mi

Hospitalist

17000 MEDICAL CENTER DR
Baton Rouge, LA 70816

Reassigned Medicare billing, Louisiana enrollment
156 clinicians in this Medicare group

NPI 1831688365 (225) 752-2470

Main Street Physician Services LLC

105 mi

Hospitalist

2315 E MAIN ST
New Iberia, LA 70560

Reassigned Medicare billing, Louisiana enrollment
93 clinicians in this Medicare group

NPI 1396150785 (800) 893-9698

Ambassador Physician Services LLC

119 mi

Hospitalist

2810 AMBASSADOR CAFFERY PKWY
Lafayette, LA 70506

Reassigned Medicare billing, Louisiana enrollment
67 clinicians in this Medicare group

NPI 1134237068 (800) 893-9698

Hub City Physician Group, LLC

135 mi

Hospitalist

1305 CROWLEY RAYNE HWY
Crowley, LA 70526

Reassigned Medicare billing, Louisiana enrollment
79 clinicians in this Medicare group

NPI 1992180566 (337) 788-6572

Frio Hospital Association

550 mi

Clinic/Center

105 E HACKBERRY ST STE A
Pearsall, TX 78061

Reassigned Medicare billing, Texas enrollment
100 clinicians in this Medicare group

NPI 1053195032 (830) 334-2656

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 14

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,657 services218 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

1,148 services150 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

189 services172 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.

159 services78 patients

Advance care planning, first 30 minutes 99497

130 services120 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

127 services116 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

121 services113 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

84 services84 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

62 services62 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

55 services54 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

52 services52 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.

39 services39 patients

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.

25 services25 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

23 services20 patients

Hospital Affiliations CMS Care Compare

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

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190045

Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70433 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$22.55 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers17 claims17 services$40.07 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers28 claims28 services$14.94 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$809.06 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers32 claims32 services$72.98 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers49 claims49 services$18.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SHARON K TOMBERLIN MD

Pathology (Anatomic Pathology & Clinical Pathology)