Individual provider Active NPI

David Charles McClain, MD

  • Family Medicine Physician
  • Newport, OR
National Provider Identifier
1851329767
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD175381 Issued in OR
Practice address
930 SW Abbey St
Newport, OR 97365-4820
Phone
(541) 574-1818
Fax
(541) 574-1831
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2761511205 UT
Family Medicine Physician 207Q00000X MD175381 OR Primary

Addresses

Primary practice location

930 SW Abbey St
Newport, OR 97365-4820

Mailing address

19021 US Highway 285
La Jara, CO 81140-9410
Phone (719) 587-1417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090625000684 ID Practitioner - Emergency MedicinePractitioner - Family Practice 4789597113 Reassigns benefits to 1 organization
I20170426000101 NM Practitioner - Family Practice 4789597113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
48.64 of 100Reported as group
Quality
9.4
Improvement activities
40
Cost
82.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2761511205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Las Cruces HB Medical Services LLC CurrentSince Jul 19, 2023 Accepting new patients

Locations

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

2811 N Main St
Las Cruces, NM 88001
Phone (575) 526-0080

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1851329767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19021 US HIGHWAY 285",
            "city": "LA JARA",
            "state": "CO",
            "postal_code": "811409410",
            "telephone_number": "719-587-1417",
            "fax_number": "719-274-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SW ABBEY ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654820",
            "telephone_number": "541-574-1818",
            "fax_number": "541-574-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "2761511205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD175381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.