DR. MOLLY ELIZABETH MCCLAIN M.D.
NPI 1629411350
Family Medicine in Albuquerque, NM

Active since April 11, 2013PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
MSC 10 6000, UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(408) 597-7322 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2024, Jul 16, 2024, Nov 17, 2023 and 1 more (4 updates tracked since 2017).

About Dr. Molly Elizabeth Mcclain M.d. NPPES

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

DR. MOLLY ELIZABETH MCCLAIN M.D. (NPI 1629411350) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2016-0806) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1629411350
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MOLLY ELIZABETH MCCLAINCredential: M.D.
Location AddressMSC 10 6000, UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 11, 2013
Last NPPES UpdateSeptember 25, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
NPI 1629411350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NM · MD2016-0806
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.
MSC 10 6000, Albuquerque, NM 87131

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. Molly Elizabeth Mcclain 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 ID1658505490
PECOS Enrollment IDI20170923000262
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 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 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.
70 services26 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.
42 services21 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.
17 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.
17 services15 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 9

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

Surgery
MSC 10 6000, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC 10 6000, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Anesthesiology
MSC 10 6000, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Preventive Medicine (Occupational Medicine)
MSC 10 6000, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC 10 6000
ALBUQUERQUE, NM 87131
Anesthesiology
MSC 10 6000, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Anesthesiology
MSC 10 6000, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Surgery (Surgical Oncology)
MSC 10 6000, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

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 Molly Mcclain's NPI number?

The NPI number for Molly Mcclain is 1629411350. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Molly Mcclain located?

Molly Mcclain practices at Msc 10 6000 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (408) 597-7322.

What is Molly Mcclain's specialty?

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

Is Molly Mcclain enrolled in Medicare?

Yes. Molly 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.

Is Molly Mcclain affiliated with any hospitals?

According to CMS data, Molly Mcclain is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Molly Mcclain was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.