Active NPI 1487197034 Individual Practitioner Female Practitioner

Amy Mclain , APN

Nurse Practitioner • Decatur, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amy Mclain, APN is a certified Nurse Practitioner practicing in Decatur, IL. With approximately 10 years of clinical experience since completing medical education in 2016, Amy Mclain delivers high-quality medical care to the local community at 4965 E LOST BRIDGE RD.

Amy Mclain is affiliated with Hshs Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4965 E Lost Bridge Rd

Decatur, IL 625215139

Telephone 2178645531

Fax 2178642449

Associated Practice Facility / Clinic

🏢 St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order Facility NPI 1326041229

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Decatur, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +0.8 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

31 Specialists

Practicing in Decatur, IL (4929 Statewide)

Telehealth Adoption Rate

9.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mclain (10 Years) 10 Yrs

Decatur Specialty Average (9.2 Years) 9.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	335	213	$251.00	$107.97
36415 Insertion of needle into vein for collection of blood sample	332	195	$20.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	174	126	$178.00	$76.43
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	156	127	$43.00	$14.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	145	125	$355.00	$151.84
81003 Automated urinalysis test	50	41	$8.00	$2.20
G0008 Administration of influenza virus vaccine	27	27	$37.00	$31.15
90662 Influenza vaccine split virus, preservative free	26	26	$98.00	$81.82
83036 Hemoglobin A1C level	26	23	$34.00	$9.52
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	15	15	$395.50	$289.02
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	15	13	$166.50	$66.31
G0009 Administration of pneumococcal vaccine	14	14	$37.00	$31.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$111.00	$47.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	247	153	$20.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	225	166	$231.22	$105.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	190	151	$313.88	$148.64
99213 Established patient office or other outpatient visit, typically 15 minutes	124	105	$159.97	$74.74
81003 Automated urinalysis test	43	36	$8.00	$2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$316.29	$138.77
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	26	25	$395.50	$281.40
G0009 Administration of pneumococcal vaccine	24	23	$37.00	$29.66
G0008 Administration of influenza virus vaccine	18	18	$37.00	$29.66
83036 Hemoglobin A1C level	17	16	$34.00	$9.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$206.60	$93.34
90662 Influenza vaccine split virus, preservative free	15	15	$98.00	$71.93
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	13	13	$166.50	$30.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	173	156	$121.42	$74.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	56	$197.16	$106.18
36415 Insertion of needle into vein for collection of blood sample	41	31	$20.00	$2.95
81003 Automated urinalysis test	33	27	$9.45	$2.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	26	$68.58	$47.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$249.18	$137.24
0004A Fee covid-19 vac 1 res	19	19	$40.00	$37.38
87502 Detection test by nucleic acid for multiple types influenza virus	13	13	$234.00	$95.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	178	175	$105.89	$75.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	31	$219.34	$146.22
0004A Fee covid-19 vac 1 res	32	32	$40.00	$38.01
0003A Adm sarscov2 30mcg/0.3ml 3rd	30	30	$40.00	$38.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	26	$60.62	$46.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$156.35	$106.01
81003 Automated urinalysis test	13	13	$23.54	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	164	$148.30	$90.28
99213 Established patient office or other outpatient visit, typically 15 minutes	31	31	$99.45	$60.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	184	$140.51	$86.99
99213 Established patient office or other outpatient visit, typically 15 minutes	44	44	$93.57	$60.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	252	235	$93.00	$59.56
87804 Detection test by immunoassay with direct visual observation for influenza virus	47	24	$35.96	$15.79
82962 Blood glucose (sugar) test performed by hand-held instrument	19	19	$29.00	$3.21
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$20.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	166	162	$92.18	$59.77
82962 Blood glucose (sugar) test performed by hand-held instrument	25	24	$28.76	$3.15

Medical Specialties & State Licenses

CMS Verified: 2022-08-19

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209015064

(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

Hshs Medical Group Inc

4965 E Lost Bridge Rd, Decatur, IL 625215139

Phone: 2178645531

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Brooke Ballard , MD

Family Medicine

NPI 1053310557

Doctor of Medicine (M.D.)

Dr. Craig Brown , MD

Family Medicine

NPI 1053315812

Doctor of Medicine (M.D.)

Julia Auton , APN

Nurse Practitioner - Family

NPI 1053648642

Advanced Practice Nurse

Dr. Kimberly Walker , MD

Family Medicine

NPI 1144715194

Doctor of Medicine (M.D.)

Kim Miller , APN, CNP

Nurse Practitioner

NPI 1285638262

Advanced Practice Nurse, Certified Nurse Practitioner

Dr. James Bock , MD

Family Medicine

NPI 1285643825

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location August 19, 2022

Registered at 4965 E LOST BRIDGE RD, DECATUR, IL 625215139 (Tel: 2178645531)

📍

Updated Business Mailing Address August 19, 2022

Registered at 3051 HOLLIS DR, SPRINGFIELD, IL 627047450 (Tel: 2174929695)

📍

Updated Business Mailing Address September 25, 2018

Registered at 1005 HEALTH CENTER DR STE 201, MATTOON, IL 619384693 (Tel: 2172386055)

👤

Provider Name / Credentials Updated September 25, 2018

Recorded as AMY MCLAIN, APN

✅

NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 30, 2016

Registered at 1100 TUSCOLA BLVD, TUSCOLA, IL 619532065 (Tel: 2172532020)

📍

Updated Business Mailing Address November 30, 2016

Registered at 1100 TUSCOLA BLVD, TUSCOLA, IL 619532065 (Tel: 2172532020)

👤

Provider Name / Credentials Updated November 30, 2016

Recorded as AMY MCLAIN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Nurse Practitioner (License #209015064 in IL)

🟢

Initial NPI Registration & Enumeration November 30, 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: 1487197034

Entity Type:

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

Enumeration Date: November 30, 2016

Last Update: August 19, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3051 Hollis Dr

Springfield, IL 627047450

Phone: 2174929695

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.