DR. STERLING MCCLAIN DO
NPI 1700376076
Obstetrics & Gynecology in Springfield, TN
About Dr. Sterling Mcclain Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STERLING MCCLAIN DO (NPI 1700376076) is an individual obstetrics & gynecology provider in Springfield, Tennessee, licensed in Tennessee (4829) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Sterling Mcclain 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sterling Mcclain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Smyrna, TN 37167
- Reassigned Medicare billing, Tennessee enrollment
- 109 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, Florida enrollment
- 230 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37172 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, TN 37172
SPRINGFIELD, TN 37172
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 Sterling Mcclain's NPI number?
The NPI number for Sterling Mcclain is 1700376076. It was assigned to this individual provider in the NPPES registry on May 12, 2018.
Where is Sterling Mcclain located?
Sterling Mcclain practices at 500 Northcrest Dr Suite 520, Springfield, TN 37172. The listed phone number is (615) 219-6190.
What is Sterling Mcclain's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Sterling Mcclain enrolled in Medicare?
Yes. Sterling 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.
Which organizations bill Medicare for Sterling Mcclain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sterling Mcclain reassigns Medicare benefits to 2 organizations: Diana Health Tn, PC (Smyrna, TN) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sterling Mcclain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sterling Mcclain accept?
Health plans from Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Sterling Mcclain 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.
When was this NPI record last updated?
The NPPES record for Sterling Mcclain was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Sterling Mcclain, DO · NPI 1700376076
Obstetrics & Gynecology physician in Springfield, Tennessee. Individual provider, active in the CMS NPPES registry since May 12, 2018.
## Identity
- **NPI:** 1700376076 (Entity type: Individual)
- **Enumerated:** May 12, 2018
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 4829 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 NORTHCREST DR, SUITE 520, Springfield, TN 37172
- **Phone:** (615) 219-6190
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Diana Health Tn, PC (NPI 1457020844, Smyrna, TN); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1700376076) · Data from the CMS NPPES public registry.