Active NPI
Matthew R McClure, MD
- Family Medicine Physician
- Fulton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2015043480
- Practice address
- 10 S Hospital Dr
Fulton, MO 65251-2510 - Phone
- (573) 642-3376
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2015043480 | MO | Primary |
| Family Medicine Physician | 207Q00000X | 24519 | OK |
Addresses
Primary practice location
10 S Hospital Dr
Fulton, MO 65251-2510
Mailing address
12120 State Line Rd # 250
Leawood, KS 66209-1254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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
- Family Practice
- Education
- University of Arkansas College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10502 N 110TH E Ave
Bailey Medical Center
Owasso, OK 74055-6655
Phone (918) 579-2300
1120 S Utica Ave
Hillcrest Medical Center
Tulsa, OK 74104-4012
Phone (918) 579-1000
Hospital & facility affiliations
- Hillcrest Medical Center
- Hillcrest Hospital South
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.31 of 100
- Improvement activities
- 20
- Cost
- 82.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Infectious Disease Specialists, LLC | Current | Accepting new patients | |
| Tulsa Hospital Medicine Physicians Group, LLC | Current | Accepting new patients | |
| Ahs Hillcrest Medical Center, LLC | Past | Accepting new patients | |
| Jane Phillips Nowata Hospital Inc | Past | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Family Medicine | Past | Accepting new patients |
Locations
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
Interoperability endpoints
- mmcclure837716@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1144982711
-
- Infectious Disease Physician
- Tulsa, OK
- NPI 1497417067
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- General Acute Care Hospital
- Nowata, OK
- NPI 1548247489
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1811038581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12120 STATE LINE RD # 250",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662091254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 S HOSPITAL DR",
"city": "FULTON",
"state": "MO",
"postal_code": "652512510",
"telephone_number": "573-642-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "MATTHEW",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2015043480",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "24519",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fulton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.