Individual provider Active NPI

Matthew James McClure, DO

  • Family Medicine Physician
  • Selinsgrove, PA
National Provider Identifier
1790047249
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS017312 Issued in PA
Practice address
21 Susquehanna Valley Mall Dr Ste a
Selinsgrove, PA 17870-9148
Phone
(570) 374-7852
Fax
(570) 374-7932
NPI assigned
Jun 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS017312 PA Primary

Addresses

Primary practice location

21 Susquehanna Valley Mall Dr Ste a
Selinsgrove, PA 17870-9148

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123

Other identifiers 1

IdentifierTypeStateIssuer
1030429560001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MatthewMcClureDO@fpc.medentdirect.com Health Information Exchange (HIE) FAMILY PRACTICE CENTER, PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150619001351 PA Practitioner - Family Practice 3971814740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Practice addresses (Care Compare)

1 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-5889

131 JPM Rd
Lewisburg, PA 17837-9309
Phone (570) 523-6115

21 Susquehanna Valley Mall Dr
Suite a
Selinsgrove, PA 17870-9148
Phone (570) 374-7852

210 Forge Rd
Suite 2
Boiling Springs, PA 17007-9787
Phone (717) 254-6109

270 Susquehanna Valley Mall Dr
Selinsgrove, PA 17870-9115

Hospital & facility affiliations

  • Residential Home Health of NC PA, LLC Home health agency, Lewisburg, PA, CCN 398144
  • Wellspan Evangelical Community Hospital Hospital, Lewisburg, PA, CCN 390013
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth12
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC CurrentSince Jul 13, 2015 Accepting new patients
Family Practice Center, PC Family Medicine CurrentSince Jul 13, 2015 Accepting new patients

Locations

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

270 Susquehanna Valley Mall Dr
Ste 100
Selinsgrove, PA 17870
Phone (570) 743-1703

21 Susquehanna Valley Mall Dr
Ste A
Selinsgrove, PA 17870
Phone (570) 374-7852

Interoperability endpoints

  • Direct secure messaging: matthewmccluredo@fpc.medentdirect.com

Organizations & group practices 2

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1790047249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SUSQUEHANNA VALLEY MALL DR STE A",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178709148",
            "telephone_number": "570-374-7852",
            "fax_number": "570-374-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030429560001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MatthewMcClureDO@fpc.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "FAMILY PRACTICE CENTER, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "21 Susquehanna Valley Mall Dr Ste A",
            "city": "Selinsgrove",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178709148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Selinsgrove, PA

Sources for this page

Verify at the official NPI Registry.