Active NPI 1073871992 Individual Practitioner Male Practitioner

Dr. Michael Albert Mcclain , DO

Anesthesiology • Pikeville, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mcclain, DO is a certified Anesthesiology practicing in Pikeville, KY. With approximately 14 years of clinical experience since graduating from Oklahoma State University College Of Osteopathic Medicine in 2012, Dr. Mcclain delivers high-quality medical care to the local community at 911 BYPASS RD.

Dr. Mcclain is affiliated with Professional Anesthesia Services Of Kentucky Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for exam of colon using an endoscope, anesthesia for procedure on large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

911 Bypass Rd

Pikeville, KY 415011689

Telephone 6062183500

Associated Practice Facility / Clinic

🏢 Cj Critical Care Transportation Systems Of Kentucky, Inc. Facility NPI 1992700173

Medicare Profile & Education

Medical School

Oklahoma State University College Of Osteopathic Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Pikeville, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -5.8 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

22 Specialists

Practicing in Pikeville, KY (662 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

92.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcclain (14 Years) 14 Yrs

Pikeville Specialty Average (19.8 Years) 19.8 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
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	51	48	$1160.80	$79.98
00812 Anesthesia for exam of colon using an endoscope	50	50	$986.32	$64.72
00811 Anesthesia for procedure on large bowel using an endoscope	44	44	$1198.32	$74.46
00813 Anesthesia for procedure on small and large bowel using an endoscope	33	33	$1385.55	$103.49
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	32	32	$640.38	$55.23
01402 Anesthesia for procedure for total knee joint replacement	27	26	$1855.74	$152.20
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	13	12	$1762.15	$120.18
01922 Anesthesia for x-ray or radiation therapy	13	13	$1411.00	$114.42
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	13	13	$496.92	$65.13
01638 Anesthesia for open or endoscopic total shoulder joint replacement	11	11	$1844.73	$194.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	28	28	$339.71	$57.67
00812 Anesthesia for exam of colon using an endoscope	24	24	$864.04	$67.41
01402 Anesthesia for procedure for total knee joint replacement	24	24	$1394.33	$145.51
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	22	22	$898.09	$83.98
00811 Anesthesia for procedure on large bowel using an endoscope	22	22	$926.41	$84.06
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	21	21	$392.00	$66.07
00813 Anesthesia for procedure on small and large bowel using an endoscope	17	17	$884.76	$84.39
00910 Anesthesia for other procedure on urinary system through urethra	16	16	$778.75	$70.61
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	14	13	$972.64	$93.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	56	55	$267.41	$30.16
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	30	30	$717.83	$61.58
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	22	22	$669.36	$46.61
01402 Anesthesia for procedure for total knee joint replacement	13	13	$1369.85	$166.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	33	33	$211.82	$30.51
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	13	13	$967.00	$62.11
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	12	12	$1094.92	$43.26
00811 Anesthesia for procedure on large bowel using an endoscope	11	11	$955.55	$112.14
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	11	11	$1000.72	$119.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	20	20	$645.00	$70.11
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$138.75	$31.57
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	15	14	$726.67	$87.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	65	64	$644.62	$68.52
64640 Destruction of peripheral nerve or branch	51	19	$481.00	$61.09
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	49	48	$144.22	$31.65
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	28	27	$192.00	$66.71
01402 Anesthesia for procedure for total knee joint replacement	26	25	$1630.77	$171.96
00811 Anesthesia for procedure on large bowel using an endoscope	24	24	$691.67	$82.84
00910 Anesthesia for other procedure on urinary system through urethra	19	19	$615.79	$64.51
01922 Anesthesia for x-ray or radiation therapy	18	18	$961.11	$100.85
00400 Anesthesia for procedure on skin of arms, legs, or trunk	17	17	$929.41	$87.82
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	16	16	$775.00	$85.35
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	16	16	$299.50	$65.35
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	16	16	$1575.00	$166.25
01214 Anesthesia for total hip replacement	15	15	$1893.33	$197.84
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	14	14	$1085.71	$123.66
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	13	13	$884.62	$95.68
00813 Anesthesia for procedure on small and large bowel using an endoscope	11	11	$827.27	$89.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	56	55	$414.73	$70.44
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	46	46	$214.41	$31.46
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	32	32	$759.38	$82.66
00811 Anesthesia for procedure on large bowel using an endoscope	29	29	$730.17	$77.12
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	28	28	$192.00	$59.79
01402 Anesthesia for procedure for total knee joint replacement	23	23	$1656.52	$173.20
00145 Anesthesia for retinal surgery	22	21	$597.05	$104.54
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	18	17	$1405.56	$148.56
36620 Insertion of artery tube for blood sampling or infusion through skin	18	18	$128.00	$43.67
01230 Anesthesia for open procedure on upper two-thirds of thigh bone	17	17	$1470.59	$150.04
00813 Anesthesia for procedure on small and large bowel using an endoscope	16	16	$868.75	$93.02
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	14	14	$800.00	$85.15
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	14	14	$297.57	$64.32
00400 Anesthesia for procedure on skin of arms, legs, or trunk	13	13	$731.54	$84.66
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	13	13	$1215.38	$127.70
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	12	11	$827.50	$109.91
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	11	11	$890.91	$94.09
01922 Anesthesia for x-ray or radiation therapy	11	11	$927.27	$98.23
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	11	11	$421.82	$62.79
01214 Anesthesia for total hip replacement	11	11	$1872.73	$200.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope	70	68	$805.71	$84.83
00810 Anesthesia for procedure on lower intestine using an endoscope	49	49	$808.16	$85.38
00142 Anesthesia for lens surgery	39	37	$674.36	$71.04
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	24	$220.54	$31.35
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	16	15	$1750.00	$183.60
01402 Anesthesia for procedure for total knee joint replacement	16	16	$1631.25	$168.10
01230 Anesthesia for open procedure on upper two-thirds of thigh bone	12	12	$1633.33	$171.38
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	12	12	$1050.00	$110.23
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	12	12	$1233.33	$129.76
00910 Anesthesia for other procedure on urinary system through urethra	11	11	$618.18	$71.50
36620 Insertion of artery tube for blood sampling or infusion through skin	11	11	$128.00	$46.43

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License KY 03991

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Hospital & Practice Group Affiliations

Professional Anesthesia Services Of Kentucky Pllc

1801 Ashley Cir, Bowling Green, KY 421043362

Phone: 2707931000

Professional Anesthesia Services Of Kentucky Pllc

200 E Chestnut St, Louisville, KY 402021831

Phone: 5026298000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Selina Holley , DIETITIAN

Dietitian, Registered

NPI 1003958513

Dr. Yousof Elgaried , MBBS

Internal Medicine - Pulmonary Disease

NPI 1013294164

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Angela Moore , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033138003

Certified Registered Nurse Anesthetist

Michael Ludlow , APRN

Nurse Practitioner

NPI 1043289663

Advanced Practice Registered Nurse

Sandra Perry , CRNA

Nurse Anesthetist, Certified Registered

NPI 1063430247

Certified Registered Nurse Anesthetist

Dr. Erlindo Valera , MD

Anesthesiology

NPI 1073547915

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 06, 2016

Registered at 911 BYPASS RD, PIKEVILLE, KY 415011689 (Tel: 6062183500)

📍

Updated Business Mailing Address July 06, 2016

Registered at PO BOX 432, PIKEVILLE, KY 415020432 (Tel: 6062183500)

👤

Provider Name / Credentials Updated July 06, 2016

Recorded as MICHAEL MCCLAIN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2016

Anesthesiology (License #03991 in KY)

🟢

Initial NPI Registration & Enumeration April 28, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073871992

Entity Type:

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

Enumeration Date: April 28, 2012

Last Update: July 06, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 432

Pikeville, KY 415020432

Phone: 6062183500

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.