Active NPI 1730185364 Individual Practitioner Male Practitioner

Dr. Timothy P Mcclain , MD

Internal Medicine • Laurel, MD

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Mcclain, MD is a registered healthcare professional specializing in Internal Medicine in Laurel, MD. Practice services are available at 8871 GORMAN RD STE 300 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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, blood glucose (sugar) test performed by hand-held instrument. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8871 Gorman Rd Ste 300

Laurel, MD 207235877

Telephone 3014983150

Fax 4106018886

Associated Practice Facility / Clinic

🏢 Lifebridge Community Physicians Inc Facility NPI 1407656192

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Laurel, MD

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.3 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

40 Specialists

Practicing in Laurel, MD (4114 Statewide)

Telehealth Adoption Rate

35.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	719	365	$295.00	$100.39
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	366	228	$34.00	$16.64
82962 Blood glucose (sugar) test performed by hand-held instrument	204	96	$9.00	$3.20
83036 Hemoglobin A1C level	201	103	$32.00	$9.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	166	166	$296.00	$134.18
93000 Routine ekg using at least 12 leads including interpretation and report	161	155	$77.00	$14.95
G0444 Annual depression screening, 5 to 15 minutes	130	130	$40.00	$19.66
G0008 Administration of influenza virus vaccine	42	42	$45.00	$33.77
90653 Vaccine for influenza for injection into muscle	38	38	$135.00	$81.82
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	36	33	$55.92	$28.41
81002 Urinalysis, manual test	35	29	$10.00	$3.33
87804 Detection test by immunoassay with direct visual observation for influenza virus	32	15	$35.00	$15.45
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	30	19	$39.00	$15.15
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$205.00	$87.49
99496 Transitional care management services for problem of high complexity	22	19	$675.00	$290.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$400.00	$150.18
99495 Transitional care management services for problem of at least moderate complexity	21	18	$480.00	$214.51
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	20	19	$105.00	$31.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	16	$190.00	$55.85
69209 Removal of impacted ear wax by washing	13	12	$53.65	$20.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$443.08	$174.22
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$270.00	$170.83

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	851	402	$295.29	$101.93
82962 Blood glucose (sugar) test performed by hand-held instrument	245	110	$9.00	$3.19
83036 Hemoglobin A1C level	218	107	$32.00	$9.45
93000 Routine ekg using at least 12 leads including interpretation and report	206	195	$77.00	$15.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	204	203	$296.00	$136.46
G0444 Annual depression screening, 5 to 15 minutes	166	165	$40.00	$19.69
81002 Urinalysis, manual test	63	51	$10.00	$3.36
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	56	55	$147.41	$74.46
G0008 Administration of influenza virus vaccine	55	54	$45.00	$32.50
99213 Established patient office or other outpatient visit, typically 15 minutes	44	43	$205.00	$91.38
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	37	26	$39.00	$15.64
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	33	26	$55.00	$28.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	26	$400.00	$129.14
99496 Transitional care management services for problem of high complexity	29	27	$675.00	$293.13
G0009 Administration of pneumococcal vaccine	22	22	$45.00	$32.50
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	20	20	$532.35	$281.68
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$356.00	$174.37
99495 Transitional care management services for problem of at least moderate complexity	17	15	$480.00	$216.53
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	14	$190.00	$55.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$445.00	$176.60

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	758	388	$295.00	$107.89
82962 Blood glucose (sugar) test performed by hand-held instrument	179	95	$9.00	$3.23
93000 Routine ekg using at least 12 leads including interpretation and report	175	167	$77.00	$15.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	169	168	$296.00	$141.12
G0444 Annual depression screening, 5 to 15 minutes	84	84	$40.00	$20.03
83036 Hemoglobin A1C level	80	65	$32.00	$9.47
81002 Urinalysis, manual test	74	59	$10.00	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	69	63	$205.00	$78.64
G0008 Administration of influenza virus vaccine	64	63	$45.00	$31.81
90662 Influenza vaccine split virus, preservative free	62	61	$130.00	$68.43
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	46	29	$39.00	$16.25
99496 Transitional care management services for problem of high complexity	40	32	$675.00	$294.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	32	$400.00	$157.55
G0009 Administration of pneumococcal vaccine	32	32	$45.00	$32.11
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	23	19	$55.00	$30.69
99495 Transitional care management services for problem of at least moderate complexity	17	17	$480.00	$223.96
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$280.00	$132.05
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	14	$190.00	$57.36
90670 Pneumococcal vaccine for injection into muscle	11	11	$485.00	$247.76

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	654	353	$295.00	$119.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	234	233	$296.00	$143.70
82962 Blood glucose (sugar) test performed by hand-held instrument	229	100	$9.00	$3.22
G0444 Annual depression screening, 5 to 15 minutes	217	216	$40.00	$20.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	185	157	$400.00	$168.37
G0442 Annual alcohol misuse screening, 5 to 15 minutes	177	176	$40.00	$20.59
93000 Routine ekg using at least 12 leads including interpretation and report	161	153	$77.00	$16.28
G0008 Administration of influenza virus vaccine	119	118	$45.00	$18.41
90662 Influenza vaccine split virus, preservative free	114	113	$130.00	$65.22
99213 Established patient office or other outpatient visit, typically 15 minutes	105	87	$205.00	$87.25
81002 Urinalysis, manual test	92	74	$10.00	$3.48
0031A Adm sarscov2 vac ad26 .5ml	45	45	$78.67	$38.94
0011A Adm sarscov2 100mcg/0.5ml1st	44	44	$46.09	$22.91
0012A Adm sarscov2 100mcg/0.5ml2nd	43	43	$70.14	$34.60
99496 Transitional care management services for problem of high complexity	42	34	$675.00	$297.22
G0009 Administration of pneumococcal vaccine	35	35	$45.00	$18.38
82044 Urine microalbumin (protein) analysis	28	26	$16.00	$6.04
82570 Creatinine level to test for kidney function or muscle injury	27	25	$19.00	$5.18
90670 Pneumococcal vaccine for injection into muscle	27	27	$485.00	$240.55
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	19	$190.00	$57.96
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	20	16	$39.00	$17.03
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$270.00	$183.42
69209 Removal of impacted ear wax by washing	14	11	$54.64	$20.68
82270 Stool analysis for blood to screen for colon tumors	14	14	$11.00	$4.07
99495 Transitional care management services for problem of at least moderate complexity	13	13	$480.00	$225.22

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	614	321	$295.00	$111.86
82962 Blood glucose (sugar) test performed by hand-held instrument	167	92	$9.00	$3.20
99213 Established patient office or other outpatient visit, typically 15 minutes	135	112	$205.00	$77.67
93000 Routine ekg using at least 12 leads including interpretation and report	128	118	$77.00	$18.68
81002 Urinalysis, manual test	107	94	$10.00	$3.43
G0008 Administration of influenza virus vaccine	93	89	$45.00	$18.16
99442 Telephone medical discussion with physician, 11-20 minutes	91	84	$105.00	$82.07
90662 Influenza vaccine split virus, preservative free	85	81	$116.47	$59.90
G0444 Annual depression screening, 5 to 15 minutes	83	83	$40.00	$20.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	76	75	$296.00	$126.99
G0442 Annual alcohol misuse screening, 5 to 15 minutes	69	68	$40.00	$19.69
82044 Urine microalbumin (protein) analysis	41	34	$16.00	$6.03
82570 Creatinine level to test for kidney function or muscle injury	40	33	$19.00	$5.01
99443 Telephone medical discussion with physician, 21-30 minutes	38	32	$148.16	$118.03
G0009 Administration of pneumococcal vaccine	27	27	$45.00	$18.13
99496 Transitional care management services for problem of high complexity	23	22	$675.00	$267.45
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	23	22	$32.52	$15.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$400.00	$134.02
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$235.00	$119.39
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	13	11	$39.00	$16.73
90670 Pneumococcal vaccine for injection into muscle	12	12	$438.33	$225.19
99495 Transitional care management services for problem of at least moderate complexity	11	11	$480.00	$202.46
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$42.73	$17.80

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	812	380	$295.09	$114.16
82962 Blood glucose (sugar) test performed by hand-held instrument	214	104	$9.00	$3.13
99213 Established patient office or other outpatient visit, typically 15 minutes	191	149	$205.00	$79.44
93000 Routine ekg using at least 12 leads including interpretation and report	189	171	$77.00	$18.29
81002 Urinalysis, manual test	150	130	$10.00	$3.23
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	129	17	$124.68	$44.24
G0444 Annual depression screening, 5 to 15 minutes	110	110	$40.00	$19.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	93	93	$296.00	$125.57
82044 Urine microalbumin (protein) analysis	86	55	$16.00	$5.90
82570 Creatinine level to test for kidney function or muscle injury	85	55	$19.00	$5.43
G0008 Administration of influenza virus vaccine	79	78	$45.00	$17.82
90662 Influenza vaccine split virus, preservative free	76	75	$105.00	$54.13
G0442 Annual alcohol misuse screening, 5 to 15 minutes	75	75	$40.00	$19.10
93922 Ultrasound study of arm and leg arteries	37	37	$295.00	$93.23
99496 Transitional care management services for problem of high complexity	32	30	$675.00	$235.34
G0009 Administration of pneumococcal vaccine	26	26	$45.00	$17.82
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	20	12	$39.00	$16.01
90670 Pneumococcal vaccine for injection into muscle	18	18	$375.28	$197.07
99495 Transitional care management services for problem of at least moderate complexity	15	14	$480.00	$176.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$400.00	$156.69

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	680	324	$260.88	$110.72
82962 Blood glucose (sugar) test performed by hand-held instrument	229	97	$7.86	$3.15
81002 Urinalysis, manual test	192	147	$10.00	$3.32
93000 Routine ekg using at least 12 leads including interpretation and report	165	150	$69.17	$17.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	128	$296.00	$121.02
G0444 Annual depression screening, 5 to 15 minutes	129	128	$40.00	$18.59
82044 Urine microalbumin (protein) analysis	102	62	$16.00	$6.05
82570 Creatinine level to test for kidney function or muscle injury	102	62	$16.10	$6.20
G0008 Administration of influenza virus vaccine	98	96	$45.00	$22.04
99213 Established patient office or other outpatient visit, typically 15 minutes	86	78	$195.51	$75.12
90662 Influenza vaccine split virus, preservative free	82	82	$105.00	$52.30
G0442 Annual alcohol misuse screening, 5 to 15 minutes	73	73	$40.00	$18.85
G0009 Administration of pneumococcal vaccine	52	52	$45.00	$22.04
90670 Pneumococcal vaccine for injection into muscle	38	38	$350.00	$188.18
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	38	12	$114.00	$43.54
94010 Test to measure expiratory airflow and volume	20	20	$104.00	$38.12
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	19	19	$36.05	$16.20
87804 Detection test by immunoassay with direct visual observation for influenza virus	19	11	$35.00	$16.22
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	17	$37.00	$16.58
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$200.00	$105.59
99496 Transitional care management services for problem of high complexity	17	17	$614.06	$241.02
69209 Removal of impacted ear wax by washing	12	11	$52.50	$17.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$276.73	$112.52

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	711	323	$230.00	$108.10
82962 Blood glucose (sugar) test performed by hand-held instrument	223	104	$7.00	$3.10
81002 Urinalysis, manual test	221	143	$10.00	$3.36
G0442 Annual alcohol misuse screening, 5 to 15 minutes	167	167	$40.00	$18.33
G0444 Annual depression screening, 5 to 15 minutes	157	157	$40.00	$18.31
93000 Routine ekg using at least 12 leads including interpretation and report	156	143	$60.00	$17.52
82044 Urine microalbumin (protein) analysis	146	74	$16.00	$6.15
82570 Creatinine level to test for kidney function or muscle injury	140	74	$15.00	$5.54
G0008 Administration of influenza virus vaccine	84	84	$45.00	$27.37
90662 Influenza vaccine split virus, preservative free	81	81	$85.00	$46.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$296.00	$119.39
G0009 Administration of pneumococcal vaccine	42	42	$45.00	$27.37
90670 Pneumococcal vaccine for injection into muscle	35	35	$350.00	$180.15
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$157.00	$72.93
93922 Ultrasound study of arm and leg arteries	22	22	$258.00	$87.35
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	18	16	$30.00	$14.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$310.00	$148.63
99495 Transitional care management services for problem of at least moderate complexity	16	15	$374.00	$168.43
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$32.00	$16.11
87804 Detection test by immunoassay with direct visual observation for influenza virus	13	13	$35.00	$16.11
69209 Removal of impacted ear wax by washing	12	12	$44.38	$16.43

Medical Specialties & State Licenses

CMS Verified: 2021-10-19

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MD D39532

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

152931500 (MD)

Commercial Insurance / Payer ID Blue Shield Of Md

52317601 (MD)

Commercial Insurance / Payer ID Blue Shield National Area

80160012 (DC)

Secondary Practice Locations

321 Prince George St

Laurel, MD 207074361

Phone: 3017250600

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Safia Tasneem , MD

Family Medicine

NPI 1306027180

Doctor of Medicine (M.D.)

Dr. Susan Madonna , DO

Family Medicine

NPI 1366427940

Doctor of Osteopathic Medicine (D.O.)

Dr. William Warren , MD

Internal Medicine

NPI 1669478285

Doctor of Medicine (M.D.)

Dr. Prema Siva , MD

Internal Medicine

NPI 1699722009

Doctor of Medicine (M.D.)

Dr. Eugene Taylor , MD

Family Medicine

NPI 1861557035

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location October 19, 2021

Registered at 8871 GORMAN RD STE 300, LAUREL, MD 207235877 (Tel: 3014983150)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 321 PRINCE GEORGE ST, LAUREL, MD 207074361 (Tel: 3017250600)

📍

Updated Business Mailing Address July 08, 2007

Registered at 321 PRINCE GEORGE ST, LAUREL, MD 207074361 (Tel: 3017250600)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as TIMOTHY MCCLAIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #D39532 in MD)

🟢

Initial NPI Registration & Enumeration June 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1730185364

Entity Type:

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

Enumeration Date: June 28, 2005

Last Update: October 19, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

321 Prince George St

Laurel, MD 207074361

Phone: 3017250600

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.