Individual provider Active NPI

Robert Wallace McClure, MD

  • Gastroenterology Physician
  • Columbia, TN
National Provider Identifier
1386600906
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD19984 Issued in TN
Practice address
1222 Trotwood Avenue
Suite 501
Columbia, TN 38401-6422
Phone
(931) 388-8302
Fax
(931) 388-9540
NPI assigned
Apr 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD19984 TN Primary

Addresses

Primary practice location

1222 Trotwood Avenue
Suite 501
Columbia, TN 38401-6422

Mailing address

1222 Trotwood Avenue
Suite 501
Columbia, TN 38401-6422
Phone (931) 388-8302

Other identifiers 2

IdentifierTypeStateIssuer
3702673MedicaidTN
3049367MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208000864 TN Practitioner - Gastroenterology 5890770820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Vanderbilt University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians

Practice addresses (Care Compare)

1222 Trotwood Ave
Columbia, TN 38401-6422

1224 N Trotwood Ave
Columbia, TN 38401-4802

1224 Trotwood Ave
Columbia, TN 38401-4802
Phone (931) 381-1111

854 W James Campbell
Suite 303
Columbia, TN 38401-4672

854 W James Campbell Blvd
Columbia, TN 38401-4672
Phone (931) 388-8779

Hospital & facility affiliations

  • Maury Regional Hospital Hospital, Columbia, TN, CCN 440073
  • Wayne Medical Center Hospital, Waynesboro, TN, CCN 440780

Merit-based Incentive Payment System (MIPS)

Final score
69.45 of 100Reported as group
Quality
42.88
Promoting interoperability
77
Improvement activities
40
Cost
74.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy309
Upper gastrointestinal (GI) endoscopy for acid reflux318
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19984TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Hospital Marshall Medical Center CurrentSince Jul 1, 2015 Accepting new patients
Mid-South Gastroenterology Assoc PC Gastroenterology CurrentSince Jan 1, 1992 Accepting new patients
Mid-South Gastroenterology Assoc PC Gastroenterology Current Accepting new patients
Maury Regional Medical Group, Inc CurrentSince Jul 1, 2015 Accepting new patients
Family Health Group Inc Past Accepting new patients

Locations

1222 Trotwood Ave
Ste 501
Columbia, TN 38401
Phone (931) 388-8302

1510 Hatcher Ln
Columbia, TN 38401
Phone (931) 381-7818

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

1080 N Ellington Pkwy
Lewisburg, TN 37091
Phone (615) 359-6241

103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1386600906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVENUE",
            "address_2": "SUITE 501",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016422",
            "telephone_number": "931-388-8302",
            "fax_number": "931-388-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVENUE",
            "address_2": "SUITE 501",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016422",
            "telephone_number": "931-388-8302",
            "fax_number": "931-388-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "ROBERT",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD19984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3702673",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3049367",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.