Active NPI 1568822799 Individual Practitioner Female Practitioner

Gloria Jean Mcclain , NP-C

Nurse Practitioner • Fulton, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gloria Mcclain, NP-C is a certified Nurse Practitioner practicing in Fulton, AL. With approximately 11 years of clinical experience since completing medical education in 2015, Gloria Mcclain delivers high-quality medical care to the local community at 218 MAIN STREET.

Gloria Mcclain is affiliated with Physicians Care Of Clarke and accepts Medicare assignment.

Frequently performed procedures and clinical services include blood glucose (sugar) level, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

218 Main Street

Fulton, AL 364460065

Telephone 3346364823

Fax 3346361702

Associated Practice Facility / Clinic

🏢 Grove Hill Memorial Hospital,inc Facility NPI 1144270257

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fulton, AL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +0.5 yrs vs City Avg

City Avg: 10.5 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Fulton, AL (1475 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcclain (11 Years) 11 Yrs

Fulton Specialty Average (10.5 Years) 10.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82947 Blood glucose (sugar) level	89	26	$21.00	$3.85
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	42	31	$32.00	$7.61
83036 Hemoglobin A1C level	41	24	$52.00	$9.52
80053 Blood test, comprehensive group of blood chemicals	40	30	$52.00	$9.68
87804 Detection test by immunoassay with direct visual observation for influenza virus	36	16	$34.00	$16.22
84443 Blood test, thyroid stimulating hormone (TSH)	35	30	$91.00	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	35	30	$96.00	$13.12
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	18	17	$61.31	$50.28
81003 Automated urinalysis test	18	12	$15.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82947 Blood glucose (sugar) level	65	23	$21.00	$3.85
80061 Blood test, lipids (cholesterol and triglycerides)	58	44	$96.00	$13.12
80053 Blood test, comprehensive group of blood chemicals	47	32	$51.74	$10.19
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	36	29	$32.00	$7.61
83036 Hemoglobin A1C level	33	21	$52.00	$9.52
81003 Automated urinalysis test	25	18	$15.00	$2.20
84443 Blood test, thyroid stimulating hormone (TSH)	23	17	$91.00	$16.46
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	14	14	$61.38	$40.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0696 Injection, ceftriaxone sodium, per 250 mg	176	39	$20.00	$0.55
J1885 Injection, ketorolac tromethamine, per 15 mg	168	35	$6.00	$0.47
99213 Established patient office or other outpatient visit, typically 15 minutes	105	43	$89.14	$56.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1885 Injection, ketorolac tromethamine, per 15 mg	372	52	$6.00	$0.57
J0696 Injection, ceftriaxone sodium, per 250 mg	324	60	$20.00	$0.60
99213 Established patient office or other outpatient visit, typically 15 minutes	223	65	$88.00	$43.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg	192	15	$10.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	59	42	$27.00	$11.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$124.00	$80.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,003	111	$10.00	$0.11
J0696 Injection, ceftriaxone sodium, per 250 mg	532	100	$20.00	$0.57
J1885 Injection, ketorolac tromethamine, per 15 mg	414	61	$6.00	$0.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	380	177	$124.00	$83.24
82947 Blood glucose (sugar) level	115	63	$12.00	$4.23
83036 Hemoglobin A1C level	63	54	$20.00	$10.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	20	$27.00	$13.08
81002 Urinalysis, manual test	15	14	$9.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$88.00	$58.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,730	178	$10.00	$0.11
J0696 Injection, ceftriaxone sodium, per 250 mg	1,116	161	$20.00	$0.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,102	285	$124.00	$80.68
J1885 Injection, ketorolac tromethamine, per 15 mg	599	92	$6.00	$0.55
82947 Blood glucose (sugar) level	198	59	$12.00	$4.74
83036 Hemoglobin A1C level	86	48	$20.00	$11.75
99213 Established patient office or other outpatient visit, typically 15 minutes	73	52	$88.00	$56.46
87804 Detection test by immunoassay with direct visual observation for influenza virus	37	19	$21.00	$15.34
81002 Urinalysis, manual test	37	33	$9.00	$3.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$138.00	$82.83
93000 Routine ekg using at least 12 leads including interpretation and report	27	26	$63.00	$12.92
G0008 Administration of influenza virus vaccine	14	15	$21.00	$18.73
90756 Vaccine for influenza for injection into muscle	12	12	$30.00	$22.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0696 Injection, ceftriaxone sodium, per 250 mg	794	118	$20.00	$0.61
J1100 Injection, dexamethasone sodium phosphate, 1 mg	740	139	$10.00	$0.11
J1885 Injection, ketorolac tromethamine, per 15 mg	624	86	$6.00	$0.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	553	205	$124.00	$82.63
99213 Established patient office or other outpatient visit, typically 15 minutes	526	178	$88.00	$55.81
82947 Blood glucose (sugar) level	135	55	$12.00	$4.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	124	73	$27.00	$19.26
81002 Urinalysis, manual test	62	48	$9.00	$3.37
83036 Hemoglobin A1C level	49	35	$20.00	$13.05
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$95.00	$58.74
36415 Insertion of needle into vein for collection of blood sample	25	24	$7.00	$2.86
87804 Detection test by immunoassay with direct visual observation for influenza virus	19	18	$21.00	$13.09
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$63.00	$13.03
G0008 Administration of influenza virus vaccine	13	13	$21.00	$20.58

Medical Specialties & State Licenses

CMS Verified: 2023-08-02

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AL 1-101377

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Physicians Care Of Clarke

24 B Camden Byp, Camden, AL 367261770

Phone: 3348821919

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Kevin Garris , FNP-C

Nurse Practitioner - Family

NPI 1053883561

Family Nurse Practitioner (Certified)

Kelly Paparella , FNP-BC

Nurse Practitioner

NPI 1700290079

Family Nurse Practitioner (Board Certified)

Matthew Tyler , FNP-BC

Nurse Practitioner

NPI 1881143402

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address August 02, 2023

Registered at 24B CAMDEN BYP, CAMDEN, AL 367261770 (Tel: 3348821919)

✅

NPI Profile Active March 01, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 01, 2016

Registered at 218 MAIN STREET, FULTON, AL 364460065 (Tel: 3346364823)

📍

Updated Business Mailing Address March 01, 2016

Registered at 311 MCCLAIN LANE, FRANKLIN, AL 36444 (Tel: 2514909549)

👤

Provider Name / Credentials Updated March 01, 2016

Recorded as GLORIA MCCLAIN, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2016

Nurse Practitioner (License #1-101377 in AL)

🟢

Initial NPI Registration & Enumeration March 01, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568822799

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 01, 2016

Last Update: August 02, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

24b Camden Byp

Camden, AL 367261770

Phone: 3348821919

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.