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DR. DAVID A. MCCLUSKY III M.D.
NPI 1902005598
Surgery in Atlanta, GA

Active since July 13, 2007PECOS EnrolledAccepts Medicare Assignment
73.73/100
CMS Quality Rating
EMORY UNIVERSITY SCHOOL OF MEDICINE, 1364 CLIFTON ROAD, N.E., ATLANTA, GA 30322(404) 321-6111 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. David A. Mcclusky Iii M.d. NPPES

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

DR. DAVID A. MCCLUSKY III M.D. (NPI 1902005598) is an individual surgery provider in Atlanta, Georgia, licensed in Georgia (052605) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with St Luke's Wood River Medical Center, and is a graduate of Northwestern University Feinberg Medical School (2000).

NPPES Registry Identity

NPI1902005598
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DAVID A. MCCLUSKY IIICredential: M.D.
Location AddressEMORY UNIVERSITY SCHOOL OF MEDICINE, 1364 CLIFTON ROAD, N.E.Atlanta, GA 30322-0001
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222
Phone(404) 321-6111
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2000
Enumeration DateJuly 13, 2007
Last NPPES UpdateFebruary 18, 2014
✔ NPI 1902005598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in GA · 052605✔ Licensed in FL · ME 99244
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
EMORY UNIVERSITY SCHOOL OF MEDICINE, Atlanta, GA 30322
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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

Dr. David A. Mcclusky Iii 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 ID7810087343
PECOS Enrollment IDI20130916000377
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 4

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.

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.
41 services41 patients
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.
29 services25 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
15 services15 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Wood River Medical Center

Critical Access Hospitals · Ketchum, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131323
Location100 Hospital DriveKetchum, ID 83340 · Blaine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

73.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.51
Promoting Interoperability100
Improvement Activities40
Cost33.93

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.

JULIANO RIELLA M.D.
Transplant Surgery
EMORY UNIVERSITY SCHOOL OF MEDICINE
ATLANTA, GA 30322
Dekalb County (855) 366-7989
CAMRYN VEGA BOURNE
Student in an Organized Health Care Education/Training Program
EMORY UNIVERSITY SCHOOL OF MEDICINE, 100 WOODRUFF CIRCLE, SUITE P375
ATLANTA, GA 30322
Dekalb County (404) 727-5655
DEBORAH FEIFER
Student in an Organized Health Care Education/Training Program
EMORY UNIVERSITY SCHOOL OF MEDICINE, 100 WOODRUFF CIRCLE, SUITE P375
ATLANTA, GA 30322
Dekalb County (404) 727-5655
ANGELA RIGGINS
Student in an Organized Health Care Education/Training Program
EMORY UNIVERSITY SCHOOL OF MEDICINE, 100 WOODRUFF CIRCLE, SUITE P375
ATLANTA, GA 30322
Dekalb County (404) 727-5655
ANNA SAVIN
Student in an Organized Health Care Education/Training Program
EMORY UNIVERSITY SCHOOL OF MEDICINE, 100 WOODRUFF CIRCLE, SUITE P375
ATLANTA, GA 30322
Dekalb County (404) 727-5655
JORDAN PROSKY
Student in an Organized Health Care Education/Training Program
EMORY UNIVERSITY SCHOOL OF MEDICINE, 100 WOODRUFF CIRCLE, SUITE P375
ATLANTA, GA 30322
Dekalb County (404) 727-5655
RYLEA TRUDEAU
Student in an Organized Health Care Education/Training Program
EMORY UNIVERSITY SCHOOL OF MEDICINE, 100 WOODRUFF CIRCLE, SUITE P375
ATLANTA, GA 30322
Dekalb County (404) 727-5655
KATHARINE REBECCA TORREY
Student in an Organized Health Care Education/Training Program
EMORY UNIVERSITY SCHOOL OF MEDICINE, 100 WOODRUFF CIRCLE, SUITE P375
ATLANTA, GA 30322
Dekalb County (404) 727-5655

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 David Mcclusky's NPI number?

The NPI number for David Mcclusky is 1902005598. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is David Mcclusky located?

David Mcclusky practices at Emory University School Of Medicine 1364 Clifton Road, N.E., Atlanta, GA 30322. The listed phone number is (404) 321-6111.

What is David Mcclusky's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is David Mcclusky enrolled in Medicare?

Yes. David Mcclusky 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 David Mcclusky accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list David Mcclusky 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 David Mcclusky affiliated with any hospitals?

According to CMS data, David Mcclusky is affiliated with St Luke's Wood River Medical Center.

When was this NPI record last updated?

The NPPES record for David Mcclusky was last updated on February 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.