MATTHEW B MCCLAIN M.D.
NPI 1801838867
Radiology - Diagnostic Radiology in Rome, GA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
77.45/100
CMS Quality Rating
255 W 5TH ST SW, SUITE 150, ROME, GA 30165(706) 232-1545(706) 232-3819 Get Directions Write a Review

NPPES record last updated: October 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1801838867
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMATTHEW B MCCLAINCredential: M.D.
Location Address255 W 5TH ST SW, SUITE 150Rome, GA 30165-2817
Mailing AddressPo Box 369Rome, GA 30162-0369 · (706) 291-2077 · Fax (706) 235-4177
Fax(706) 232-3819
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2000
Enumeration DateJune 12, 2006
Last NPPES UpdateOctober 28, 2016
NPI 1801838867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in GA · 053274
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
255 W 5TH ST SW, Rome, GA 30165

Other Identifiers 4

Medicare UPINI35516GA
Medicare PIN30BDMXPGA
Other923349GA · Bcbs Of Georgia
Medicaid166986931AGA

Accepted 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

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.

PECOS PAC ID1355370818
PECOS Enrollment IDI20060714000017, I20191015000363
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 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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
364 services321 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
309 services309 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
269 services269 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
113 services108 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
92 services92 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
90 services90 patients

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, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110054
Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County
Birthing friendly

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110168
Location501 Redmond Road NWRome, GA 30165 · Floyd County

Physician 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.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

77.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.86
Promoting Interoperability100
Improvement Activities40
Cost63.96

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%933 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%312 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%23 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Nuclear Radiology)
255 W 5TH ST SW, SUITE 150
ROME, GA 30165
Radiology (Radiation Oncology)
255 W 5TH ST SW
ROME, GA 30165
Radiology (Diagnostic Radiology)
255 W 5TH ST SW, SUITE 150
ROME, GA 30165
Internal Medicine (Hematology & Oncology)
255 W 5TH ST SW
ROME, GA 30165
Pharmacy (Community/Retail Pharmacy)
255 W 5TH ST SW
ROME, GA 30165
Nurse Practitioner
255 W 5TH ST SW
ROME, GA 30165
Radiology (Radiation Oncology)
255 W 5TH ST SW
ROME, GA 30165
Nurse Practitioner
255 W 5TH ST SW
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.

What insurance does Matthew Mcclain accept?

Health plans from Alliant Health Plans, Inc. and Blue Cross and Blue Shield of Alabama 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 9 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.