Individual provider Active NPI

Michael Lynn McClelland Jr., MD

  • Urology Physician
  • Austin, TX
National Provider Identifier
1790782084
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
L4563 Issued in TX
Practice address
1301 W 38TH St Ste 200
Austin, TX 78705-1010
Phone
(512) 477-5905
Fax
(512) 477-8640
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X L4563 TX Primary

Addresses

Primary practice location

1301 W 38TH St Ste 200
Austin, TX 78705-1010

Mailing address

8240 N Mopac Expy Ste 100
Austin, TX 78759-8869
Phone (512) 477-5905

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080228000538 TX Practitioner - Urology 0648226662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Austin PLLCGroup PAC ID 7810087905, 59 clinicians

Practice addresses (Care Compare)

8701 N Mopac Expy
Suite 200
Austin, TX 78759-8364
Phone (512) 788-9688

Hospital & facility affiliations

  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Austin PLLC Urology CurrentSince Dec 1, 2007 Accepting new patients
Urology Austin, PLLC Urology CurrentSince Dec 1, 2007 Accepting new patients
North Austin Surgery Center, L.P. PastSince Oct 25, 2004 Accepting new patients

Locations

8701 N Mopac Expy
Ste 200
Austin, TX 78759
Phone (512) 256-3000

1301 W 38th St
Ste 200
Austin, TX 78705
Phone (512) 324-5943

8701 N Mopac Expy
Ste 100
Austin, TX 78759
Phone (737) 241-2184

8240 N Mopac Expy
Ste 100
Austin, TX 78759
Phone (512) 687-1950

1020 W 34th St
Austin, TX 78705
Phone (512) 687-1950

1180 Seton Pkwy
Ste 125
Kyle, TX 78640

Interoperability endpoints

  • Direct secure messaging: michaelmcclelland@uroaustin.medalliesdirect.net

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.

Hospital & facility affiliations 1

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1790782084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 N MOPAC EXPY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598869",
            "telephone_number": "512-477-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051010",
            "telephone_number": "512-477-5905",
            "fax_number": "512-477-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "MICHAEL",
        "middle_name": "LYNN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "L4563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.