Active NPI
Tim McClellan, M.D.
- Gastroenterology Physician
- Wichita Falls, TX
National Provider Identifier
1447238670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- K5350
- Practice address
- 1104 Brook Ave
Wichita Falls, TX 76301-5049 - Phone
- (940) 687-6870
- Fax
- (940) 687-6870
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | K5350 | TX | Primary |
Addresses
Primary practice location
1104 Brook Ave
Wichita Falls, TX 76301-5049
Mailing address
1104 Brook Ave
Wichita Falls, TX 76301-5049
Phone (940) 687-6870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1133258-04 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Texas Medical Branch at Galveston, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1104 Brook Ave
Wichita Falls, TX 76301-5049
Phone (940) 687-6870
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 25.5 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 84.99
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 235 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 307 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K5350 | TX | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wichita Falls Gastroenterology Associates | Gastroenterology | Current | Accepting new patients |
| United Regional Health Care System Inc | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
1104 Brook Ave
Wichita Falls, TX 76301
Phone (940) 687-6870
1100 Brook Ave
Wichita Falls, TX 76301
Phone (940) 761-1201
Interoperability endpoints
- tmcclellan@wfga-tx.direct.office.nextgen.com
- tmcclellan14249@unitedregional.medalliesdirect.net
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- drmcclelan@direct-address.net
- https://fhir.meditouchehr.com/api/fhir/r4/
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Wichita Falls, TX
- NPI 1265489298
-
dba United Regional Heath Care System
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Electra Memorial Hospital
- Critical Access Hospital
- Electra, TX
- NPI 1871583153
-
dba Electra Tri-Med Ambulance Service
- Land Ambulance
- Electra, TX
- NPI 1922190107
Hospital
-
dba Graham Regional Medical Center
- Critical Access Hospital
- Graham, TX
- NPI 1063113983
-
dba United Regional Heath Care System
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1447238670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 BROOK AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015049",
"telephone_number": "940-687-6870",
"fax_number": "940-687-6870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 BROOK AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015049",
"telephone_number": "940-687-6870",
"fax_number": "940-687-6870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAN",
"first_name": "TIM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "K5350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1133258-04",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.