Individual provider Active NPI

Chase Jentry McClard, PA-C

  • Medical Physician Assistant
  • Murray, KY
National Provider Identifier
1801415625
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2813 Issued in KY
Practice address
300 S 8TH St Ste 480W
Murray, KY 42071-2403
Phone
(270) 753-0704
NPI assigned
Apr 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2813 KY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

300 S 8TH St Ste 480W
Murray, KY 42071-2403

Mailing address

PO Box 14143
Belfast, ME 04915-4032
Phone (270) 762-1321

Other practice location 1

2120 Kelso Rd
Murray, KY 42071-4528
Phone (270) 217-8013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216001183 KY Practitioner - Physician Assistant 9638560121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murray-Calloway County Public Hospital CorporationGroup PAC ID 0840103297, 89 clinicians

Practice addresses (Care Compare)

300 S 8TH St
Murray, KY 42071-2403

300 S 8TH St
Murray, KY 42071-2442

Hospital & facility affiliations

  • Murray-Calloway County Hospital Hospital, Murray, KY, CCN 180027

Merit-based Incentive Payment System (MIPS)

Final score
83.99 of 100Reported as group
Quality
73.34
Promoting interoperability
100
Improvement activities
40
Cost
73.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Murray-Calloway County Public Hospital Corporation CurrentSince Oct 11, 2021 Accepting new patients
Murray-Calloway County Public Hospital Corporation Medical CurrentSince Oct 11, 2021 Accepting new patients

Locations

300 S 8th St
Ste 380W
Murray, KY 42071
Phone (270) 753-0704

300 S 8th St
Ste 480W
Murray, KY 42071
Phone (270) 762-1104

Interoperability endpoints

  • Direct secure messaging: chase.mcclard.2@9266.direct.athenahealth.com
  • Direct secure messaging: chase.mcclard.1@9266.direct.athenahealth.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 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": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1801415625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14143",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154032",
            "telephone_number": "270-762-1321",
            "fax_number": "270-767-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST STE 480W",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712403",
            "telephone_number": "270-753-0704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Kelso Rd",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420714528",
            "country_code": "US",
            "telephone_number": "270-217-8013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLARD",
        "first_name": "CHASE",
        "middle_name": "JENTRY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-12",
        "last_updated": "2021-12-09",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA2813",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.