Active NPI
Glen Alan McClung, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 35087210
- Practice address
- 6480 Harrison Ave
Suite 201
Cincinnati, OH 45247 - Phone
- (513) 354-3700
- Fax
- (513) 354-7651
- NPI assigned
- May 15, 2006
- Last updated
- May 4, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | TP803 | KY | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 35087210 | OH | Primary |
Addresses
Primary practice location
6480 Harrison Ave
Suite 201
Cincinnati, OH 45247
Mailing address
6480 Harrison Ave
Suite 201
Cincinnati, OH 45247-7961
Phone (513) 354-3700
Other practice location 1
6480 Harrison Ave
Suite 201
Cincinnati, OH 45247-7961
Phone (513) 354-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64113525 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- West Virginia University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Rodeo Dr
Erlanger, KY 41018-1279
Phone (513) 354-3700
6480 Harrison Ave
Cincinnati, OH 45247-7821
Phone (513) 354-3700
Hospital & facility affiliations
- Bethesda North
- Good Samaritan Hospital
- Mercy Health - Clermont Hospital
- Christ Hospital
- Mercy Health-Anderson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 13 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP803 | KY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Orthopaedics & Sports Medicine, LTD | Current | Accepting new patients | |
| Beacon Orthopaedics & Sports Medicine LTD | Orthopaedic Surgery | Current | Accepting new patients |
| Mississippi Sports Medicine & Orthopaedic Center | Orthopaedic Surgery | Past | Accepting new patients |
Locations
600 Rodeo Dr
Erlanger, KY 41018
Phone (513) 574-5400
463 Ohio Pike
Cincinnati, OH 45255
Phone (513) 528-0107
463 Ohio Pike
Ste 201
Cincinnati, OH 45255
Phone (513) 574-5400
463 Ohio Pike
Ste 203
Cincinnati, OH 45255
Phone (513) 247-4340
500 E Business Way
Ste C
Cincinnati, OH 45241
Phone (513) 389-3666
6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827
6480 Harrison Ave
Ste 100
Cincinnati, OH 45247
6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650
500 E Business Way
Sharonville, OH 45241
Phone (513) 251-7827
Interoperability endpoints
- glen.mcclung.p1@direct.beaconortho.nextgenshare.com
- glen.mcclung.p2@direct.beaconortho.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba OrthoAlliance of Ohio
- Specialist
- Cincinnati, OH
- NPI 1386670065
KY
-
dba Ortho Foot and Ankle DBA OrthoAlliance of Ohio
- Orthopaedic Foot and Ankle Surgery Physician
- Worthington, OH
- NPI 1699472878
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Jackson, MS
- NPI 1568415560
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
dba Mercy Hospital Anderson
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1235239211
-
dba Clermont Hospital
- General Acute Care Hospital
- Batavia, OH
- NPI 1568562551
-
dba Good Samaritan Surgery Center West
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
dba Good Samaritan Endoscopy Center North
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
dba Good Samaritan Hospital - Evendale
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
dba Good Samaritan Hand Surgery Center
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1467403279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 HARRISON AVE",
"address_2": "SUITE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477961",
"telephone_number": "513-354-3700",
"fax_number": "513-354-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6480 HARRISON AVE",
"address_2": "SUITE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45247",
"telephone_number": "513-354-3700",
"fax_number": "513-354-7651"
}
],
"practiceLocations": [
{
"address_1": "6480 Harrison Ave",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452477961",
"country_code": "US",
"telephone_number": "513-354-3700",
"fax_number": "513-354-7651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLUNG",
"first_name": "GLEN",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "TP803",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "OH",
"license": "35087210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64113525",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.