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DR. JAMES M MCCLANE M.D.
NPI 1730110107
Colon & Rectal Surgery in Norwalk, CT

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
30 STEVENS ST, NORWALK, CT 06850(203) 852-2262(203) 899-5281 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James M Mcclane M.d. NPPES

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

DR. JAMES M MCCLANE M.D. (NPI 1730110107) is an individual colon & rectal surgery provider in Norwalk, Connecticut, licensed in Connecticut (39466) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Js Weill Medical College, Cornell University (1995).

NPPES Registry Identity

NPI1730110107
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. JAMES M MCCLANECredential: M.D.
Location Address30 STEVENS STNorwalk, CT 06850-3859
Mailing Address30 Stevens StNorwalk, CT 06850-3859 · (203) 852-2262 · Fax (203) 899-5281
Phone(203) 852-2262
Fax(203) 899-5281
Sole ProprietorYes
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1995
Enumeration DateJuly 5, 2006
Last NPPES UpdateJanuary 27, 2021
NPPES CertifiedJanuary 27, 2021
✔ NPI 1730110107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in CT · 39466
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
30 STEVENS ST, Norwalk, CT 06850
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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

Dr. James M Mcclane 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 ID1355426289
PECOS Enrollment IDI20080317000304
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 8

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 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.
56 services50 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
51 services50 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
27 services16 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services12 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06850 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers22 claims800 services$3.36 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
5 suppliers25 claims891 services$4.62 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
2 suppliers13 claims368 services$2.39 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
4 suppliers11 claims460 services$8.44 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
5 suppliers40 claims835 services$5.74 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier14 claims595 services$3.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

CHRISTOS G. PAPPAS, M.D., P.C.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
30 STEVENS ST, SUITE C
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2663
KLAUS THALER MD
Surgery
30 STEVENS ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-3379
DR. TANVI KHURANA M.D.
Student in an Organized Health Care Education/Training Program
30 STEVENS ST, SUITE B
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2278
MRS. BECKY D MCANDREWS PA-C
Physician Assistant (Surgical)
30 STEVENS ST, SUITE D
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2262
MARIANA BERMEO
Nurse Practitioner (Family)
30 STEVENS ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 528-3455
NORWALK PULMONARY CONSULTANTS,PC
Specialist
30 STEVENS ST, SUITE C
NORWALK, CT 06850
Western Connecticut Planning Region (203) 855-3888
SARA ELEANOR CHURCH CNM
Advanced Practice Midwife
30 STEVENS ST, SUITE B
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-3073
LAUREN FIORITO AUDIBERT MMS, PA-C
Physician Assistant (Medical)
30 STEVENS ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2278

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 James Mcclane's NPI number?

The NPI number for James Mcclane is 1730110107. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is James Mcclane located?

James Mcclane practices at 30 Stevens St, Norwalk, CT 06850. The listed phone number is (203) 852-2262.

What is James Mcclane's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is James Mcclane enrolled in Medicare?

Yes. James Mcclane 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 James Mcclane was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.