BRANDON MORGAN MCCLELLAN MD
NPI 1861807067
Internal Medicine in San Diego, CA

Q: What is Brandon Mcclellan's NPI number?

The NPI number for Brandon Mcclellan is 1861807067. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Q: What is Brandon Mcclellan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Mcclellan was last updated on November 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 25, 2014PECOS EnrolledAccepts Medicare Assignment

4510 VIEWRIDGE AVE, SAN DIEGO, CA 92123(818) 606-8284(858) 694-7254 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 29, 2021, Feb 18, 2020 (2 updates tracked since 2020).

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About Brandon Morgan Mcclellan Md NPPES

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

BRANDON MORGAN MCCLELLAN MD (NPI 1861807067) is an individual internal medicine provider in San Diego, California, licensed in Illinois (125.064734) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861807067

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameBRANDON MORGAN MCCLELLANCredential: MD

Location Address4510 VIEWRIDGE AVESan Diego, CA 92123-1637

Mailing Address4510 Viewridge AveSan Diego, CA 92123-1637 · (818) 606-8284 · Fax (858) 694-7254

Phone(818) 606-8284

Fax(858) 694-7254

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJune 25, 2014

Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration

NPPES CertifiedNovember 29, 2021

✔ NPI 1861807067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 125.064734

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4510 VIEWRIDGE AVE, San Diego, CA 92123

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Secondary Practice Location 1

Location 14646 N Marine DrChicago, IL 60640-5759 · Phone (773) 878-8700

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

Brandon Morgan Mcclellan Md 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 ID9830318963

PECOS Enrollment IDI20190320002802

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CAITLIN KLUNK PT

Physical Therapist