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ASHLEY LORI MCCLAIN
NPI 1609538883
Physician Assistant - Medical in Altoona, PA

Active since October 06, 2021PECOS EnrolledAccepts Medicare Assignment
46.78/100
CMS Quality Rating
620 HOWARD AVE, ALTOONA, PA 16601(814) 889-2011 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ashley Lori Mcclain NPPES

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

ASHLEY LORI MCCLAIN (NPI 1609538883) is an individual medical provider in Altoona, Pennsylvania, licensed in Pennsylvania (MA062981) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609538883
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameASHLEY LORI MCCLAIN
Location Address620 HOWARD AVEAltoona, PA 16601-4804
Mailing Address321 Hunters Pass DrDuncansville, PA 16635-8358 · (814) 935-4008
Phone(814) 889-2011
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
✔ NPI 1609538883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA062981
620 HOWARD AVE, Altoona, PA 16601
Open in Google Maps ↗

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

Ashley Lori Mcclain 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 ID9133518947
PECOS Enrollment IDI20211117001419
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
51 services48 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
35 services34 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

46.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality17.39
Improvement Activities40
Cost51.45

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.

CHRISTOPHER HOLLAND
Physician Assistant (Medical)
620 HOWARD AVE
ALTOONA, PA 16601
Blair County (814) 889-2011
EDWARD J PAVLOSKY JR. CRNA
Nurse Anesthetist, Certified Registered
620 HOWARD AVE
ALTOONA, PA 16601
Blair County (814) 943-5901
DEANNA MARIE MAURER MPAS, PA-C
Physician Assistant (Medical)
620 HOWARD AVE
ALTOONA, PA 16601
Blair County (814) 942-9600
LEAH L DEGOL CRNA
Nurse Anesthetist, Certified Registered
620 HOWARD AVE
ALTOONA, PA 16601
Blair County (814) 943-5901
BREANNA CALHOUN MS, RD, LDN
Dietitian, Registered
620 HOWARD AVE
ALTOONA, PA 16601
Blair County (814) 889-2011
RACHEL ELIZABETH RONCZKA PA-C
Physician Assistant
620 HOWARD AVE
ALTOONA, PA 16601
Blair County (814) 889-6157
MILDRED THERESE FAJARDO M.D.
Psychiatry & Neurology (Psychiatry)
620 HOWARD AVE
ALTOONA, PA 16601
Blair County (814) 942-5000
BETHANN LANSBERRY
Physical Therapy Assistant
620 HOWARD AVE
ALTOONA, PA 16601
Blair County (814) 935-5823

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 Ashley Mcclain's NPI number?

The NPI number for Ashley Mcclain is 1609538883. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Ashley Mcclain located?

Ashley Mcclain practices at 620 Howard Ave, Altoona, PA 16601. The listed phone number is (814) 889-2011.

What is Ashley Mcclain's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ashley Mcclain enrolled in Medicare?

Yes. Ashley Mcclain 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.

When was this NPI record last updated?

The NPPES record for Ashley Mcclain was last updated on October 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.