JACOB THOMAS MCCLELLAN DO
NPI 1629821988
Emergency Medicine in Lawton, OK

Q: What is Jacob Mcclellan's NPI number?

The NPI number for Jacob Mcclellan is 1629821988. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Q: What is Jacob Mcclellan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Mcclellan was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 08, 2024PECOS EnrolledAccepts Medicare Assignment

3401 W GORE BLVD, LAWTON, OK 73505(580) 335-8620 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacob Thomas Mcclellan Do NPPES

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

JACOB THOMAS MCCLELLAN DO (NPI 1629821988) is an individual emergency medicine provider in Lawton, Oklahoma, licensed in Oklahoma (9206) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, is affiliated with Purcell Municipal Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1629821988

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJACOB THOMAS MCCLELLANCredential: DO

Location Address3401 W GORE BLVDLawton, OK 73505-6332

Mailing Address3401 W Gore BlvdLawton, OK 73505-6332

Phone(580) 335-8620

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 8, 2024

Last NPPES UpdateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1629821988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in OK · 9206✔ Licensed in OK · TBD

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3401 W GORE BLVD, Lawton, OK 73505

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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

Jacob Thomas Mcclellan Do 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 ID6406354919

PECOS Enrollment IDI20250813000498

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.

Hospital Affiliations CMS Care Compare 3

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

Purcell Municipal Hospital

Acute Care Hospitals · Purcell, OK

OwnershipGovernment - Local

CMS Certification Number370158

Location2301 N 9th AvePurcell, OK 73080 · Mcclain County

Emergency services

Weatherford Regional Hospital, Inc Of Weatherford

Critical Access Hospitals · Weatherford, OK

OwnershipGovernment - Hospital District or Authority

CMS Certification Number371323

Location3701 E MainWeatherford, OK 73096 · Custer County

Emergency services

Arbuckle Memorial Hospital

Critical Access Hospitals · Sulphur, OK

OwnershipGovernment - Local

CMS Certification Number371328

Location2011 West BroadwaySulphur, OK 73086 · Murray County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

GABRIEL SCOTT RIVERA

Pharmacist