MATTHEW B MCCLAIN M.D.
NPI 1801838867
Radiology - Diagnostic Radiology in Rome, GA
About Matthew B Mcclain M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW B MCCLAIN M.D. (NPI 1801838867) is an individual diagnostic radiology provider in Rome, Georgia, licensed in Georgia (053274) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and is a graduate of Medical College Of Georgia School Of Medicine (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Matthew B Mcclain 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.
Medicare Billing Reassignments
3Medicare enrollment records show Matthew Mcclain reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 23 clinicians in this Medicare group
Rome, GA 30165
- Reassigned Medicare billing, Alabama and Georgia enrollments
- 20 clinicians in this Medicare group
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 332 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.
Areas of Expertise CMS Part B claims 76
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Gordon
Acute Care Hospitals · Calhoun, GAAdventhealth Murray
Acute Care Hospitals · Chatsworth, GAAtrium Health Floyd Medical Center
Acute Care Hospitals · Rome, GARedmond Regional Medical Center
Acute Care Hospitals · Rome, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30165 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.
Reported Quality Measures
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.
ROME, GA 30165
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 Matthew Mcclain's NPI number?
The NPI number for Matthew Mcclain is 1801838867. It was assigned to this individual provider in the NPPES registry on June 12, 2006.
Where is Matthew Mcclain located?
Matthew Mcclain practices at 255 W 5th St SW Suite 150, Rome, GA 30165. The listed phone number is (706) 232-1545.
What is Matthew Mcclain's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Matthew Mcclain enrolled in Medicare?
Yes. Matthew 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 Matthew Mcclain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Mcclain reassigns Medicare benefits to 3 organizations: Rome Imaging Associates (Rome, GA), Rome Radiology Group, PA (Rome, GA) and Harbin Clinic, LLC (Rome, GA). 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 Matthew Mcclain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Mcclain accept?
Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Alabama, Oscar Health and Oscar Insurance Company list Matthew 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.
Is Matthew Mcclain affiliated with any hospitals?
According to CMS data, Matthew Mcclain is affiliated with Adventhealth Gordon, Adventhealth Murray, Atrium Health Floyd Medical Center and Redmond Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Matthew Mcclain was last updated on October 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.