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BRIAN LEE MCCLUNE DO
NPI 1649296880
Internal Medicine - Hematology & Oncology in Salt Lake City, UT

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112(801) 585-0100 Get Directions Write a Review

NPPES record last updated: November 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 20, 2021, Mar 8, 2021, Mar 5, 2021 (3 updates tracked since 2021).

About Brian Lee Mcclune Do NPPES

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

BRIAN LEE MCCLUNE DO (NPI 1649296880) is an individual hematology & oncology provider in Salt Lake City, Utah, licensed in Utah (11448582-1204) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Kansas City College Of Medicine And Surgery (2000).

NPPES Registry Identity

NPI1649296880
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameBRIAN LEE MCCLUNECredential: DO
Location Address1950 CIRCLE OF HOPE DRSalt Lake City, UT 84112-5500
Mailing Address1950 Circle Of Hope DrSalt Lake City, UT 84112-5500 · (801) 585-0100
Phone(801) 585-0100
Sole ProprietorNo
Medical School CMSKansas City College Of Medicine And SurgeryGraduated 2000
Enumeration DateJuly 14, 2006
Last NPPES UpdateNovember 20, 20213 updates tracked since enumeration
NPPES CertifiedNovember 20, 2021
✔ NPI 1649296880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in UT · 11448582-1204
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1950 CIRCLE OF HOPE DR, Salt Lake City, UT 84112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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

Brian Lee Mcclune 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 ID6002817129
PECOS Enrollment IDI20191126000243
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 7

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
208 services89 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.
197 services36 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
155 services65 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 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 services17 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

BMT DIVISION DEPARTMENT OF UNIVERSITY OF UTAH
Internal Medicine (Hematology & Oncology)
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
SETH YOUKSTETTER PA-C
Physician Assistant
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-0100
STEPHANIE BAKER NEERINGS MSN, APRN, FNP-BC
Nurse Practitioner (Family)
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-7000
STEPHANIE ANNA SANDERS PHARM.D.
Pharmacist
1950 CIRCLE OF HOPE DR, SUITE 2110
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-4272
MS. ERICA JANE FARR PA-C
Physician Assistant (Medical)
1950 CIRCLE OF HOPE DR, SUITE 2810
SALT LAKE CITY, UT 84112
Salt Lake County (801) 213-5688
KATE BLAKE NP
Nurse Practitioner
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-7000
THU M TRAN PHARMD
Pharmacist (Oncology)
1950 CIRCLE OF HOPE DR, SUITE 2110, PHARMACY SERVICES
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-4475
MARTHA JANE GLENN MD
Internal Medicine (Medical Oncology)
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 213-3800

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 Brian Mcclune's NPI number?

The NPI number for Brian Mcclune is 1649296880. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Brian Mcclune located?

Brian Mcclune practices at 1950 Circle Of Hope Dr, Salt Lake City, UT 84112. The listed phone number is (801) 585-0100.

What is Brian Mcclune's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Brian Mcclune enrolled in Medicare?

Yes. Brian Mcclune 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.

What insurance does Brian Mcclune accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Brian Mcclune 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.

Is Brian Mcclune affiliated with any hospitals?

According to CMS data, Brian Mcclune is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Brian Mcclune was last updated on November 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.