DR. PAMELA K MCCLAIN D.D.S.
NPI 1730209552
Dentist - Periodontics in Aurora, CO

NPI Status: Active since March 29, 2007

Contact Information

11200 E MISSISSIPPI AVE
AURORA, CO
ZIP 80012
Phone: (303) 696-7885

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Dentist
Periodontics
PECOS Enrolled
Opted-Out Medicare

About PAMELA MCCLAIN

This page provides the complete NPI Profile along with additional information for Pamela Mcclain, a provider established in Aurora, Colorado with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1730209552 assigned on March 2007. The practitioner's primary taxonomy code is 1223P0300X with license number 105941 (CO). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI: 1730209552
Provider Name: DR. PAMELA K MCCLAIN D.D.S.
Gender: Female
Entity Type: Individual
Location Address: 11200 E MISSISSIPPI AVE AURORA, CO 80012
Location Phone: (303) 696-7885
Mailing Address: 11200 E MISSISSIPPI AVE AURORA, CO 80012
Mailing Phone: (303) 696-7885
Is Sole Proprietor?: No
Enumeration Date: 03-29-2007
Last Update Date: 09-04-2007
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A dentist like Pamela Mcclain is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Pamela Mcclain opted out of Medicare effective on 11-17-2016 until 11-17-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dentist Periodontics
Taxonomy Code: 1223P0300X
Type: Dental Providers
License No.: 105941
License State: CO
Taxonomy Description: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Medicare Participation & PECOS Enrollment Status

Pamela Mcclain is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 11-17-2016
Opt-Out End Date: 11-17-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 80012 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $89.43
Minimum New Patient Price $58.06
Maximum New Patient Price $174.82

Average New Patient Copayment $22.35
Minimum New Patient Copayment $14.51
Maximum New Patient Copayment $43.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $72.2
Minimum Established Patient Price $18.88
Maximum Established Patient Price $142.79

Average Established Patient Copayment $18.05
Minimum Established Patient Copayment $4.72
Maximum Established Patient Copayment $35.69

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	3	0	2	0	9	5	5	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	6	0	4	0	18	5	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 4 + 0 + 1 + 8 + 5 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2									2

The NPI number 1730209552 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 7 providers are registered at the same or nearby location.

DR. G. GARO CHALIAN D.D.S.,M.S.

Dentist

(Endodontics)