Jerry L McLain, MD
Individual provider Active NPI Family Medicine Physician · Chadron, NE
NPI 1912980327 · NPPES record last updated Jul 9, 2010
Key facts
- NPI
- 1912980327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 18550 (NE)
- Practice address
- 825 Centennial Dr
Chadron, NE 69337-9400 - Phone
- (308) 432-4441
- Fax
- (308) 432-4446
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of North Dakota School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Wyoming
Chadron Medical Clinic PC
Practice addresses (Care Compare)
1522 E a St
Casper, WY 82601-2217
Phone (307) 431-5055
820 E 17TH St
Cheyenne, WY 82001-4714
Phone (307) 431-5055
825 Centennial Dr
Chadron, NE 69337-9400
Phone 30843244412306
Hospital & facility affiliations
- Home Health Agency: Chadron Hospital
- Hospice: Chadron Hospital
- Chadron Hospital
- Regional West Medical Center
- Pioneer Manor Nursing Home
- Crest View Care Center
- Ponderosa Villa
- Chadron Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.2 of 100
- Quality
- 71.3
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 50.2
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 20 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NE, WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100820001107 | NE | Practitioner - Family Practice | 9537291208 | Reassigns benefits to 3 organizations |
| I20101027000443 | WY | Practitioner - Family Practice | 9537291208 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18550 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chadron Community Hospital Corp. | Current |
Accepting new patients | |
| Chadron Medical Clinic PC | Current |
Accepting new patients | |
| University of Wyoming | Family Medicine | Current |
Accepting new patients |
| University of Wyoming Speech and Hearing Clinic | Current |
Accepting new patients | |
| Chadron Community Hospital Corp. | Past | Accepting new patients | |
| Kismet CDR, LLC | Past | Accepting new patients | |
| Chadron Community Hospital Corp. | Past | Accepting new patients | |
| University of Wyoming | Family Medicine | Past | Accepting new patients |
| Chadron Medical Clinic PC | Family Medicine | Past | Accepting new patients |
Locations
825 Centennial Dr
Chadron, NE 69337
Phone (308) 432-4441
11 Paddock St
Crawford, NE 69339
Phone (308) 665-1770
1522 E A St
Casper, WY 82601
Phone (307) 233-6000
820 E 17th St
Cheyenne, WY 82001
Phone (307) 431-5055
2710 Harney St
Ste 202
Laramie, WY 82072
Phone (307) 742-3242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18550 | NE | Yes |
Addresses
Primary practice location
825 Centennial Dr
Chadron, NE 69337-9400
Mailing address
825 Centennial Dr
Chadron, NE 69337-9400
Phone (308) 432-4441
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04183 | Other | NE | BLUE SHIELD PROVIDER # |
Other providers in Chadron, NE
- Barbara Martinez
- George Mathews
- Cynthia Louise Mays
- Shelby Joanne McConnell
- Karissa McKinnon
- Isa-Bella Mendoza
- Mental Health Care Assoc
- Jennie Lynn Miller
- Melissa A Mitchell
- Amy Montes
All providers in Chadron, NE · Family Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.