Active NPI 1770550311 Individual Practitioner Male Practitioner

Dr. Kenneth E Mcclure , MD

Internal Medicine • Longview, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Mcclure, MD is a certified Internal Medicine practicing in Longview, TX. With approximately 30 years of clinical experience since graduating from Brody School Of Medicine At East Carolina University in 1996, Dr. Mcclure delivers high-quality medical care to the local community at 802 MEDICAL DR STE 300.

Dr. Mcclure is affiliated with Regional Clinics Of Longview and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

802 Medical Dr Ste 300

Longview, TX 756055204

Telephone 9032321622

Fax 9037530760

Medicare Profile & Education

Medical School

Brody School Of Medicine At East Carolina University

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Longview, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +9.2 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

103 Specialists

Practicing in Longview, TX (9538 Statewide)

Telehealth Adoption Rate

19.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcclure (30 Years) 30 Yrs

Longview Specialty Average (20.8 Years) 20.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	604	292	$287.00	$123.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	231	231	$310.00	$126.43
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	138	22	$131.00	$44.71
99213 Established patient office or other outpatient visit, typically 15 minutes	115	96	$195.00	$88.02
G0179 Physician re-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 to affirm the initial imp	85	30	$110.00	$40.46
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	65	23	$130.00	$47.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$439.00	$153.55
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	22	21	$143.00	$51.72
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	18	18	$51.00	$18.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	12	$196.00	$75.86

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	646	292	$287.00	$123.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	209	209	$310.00	$126.47
99213 Established patient office or other outpatient visit, typically 15 minutes	103	86	$195.00	$87.58
G0179 Physician re-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 to affirm the initial imp	65	21	$110.00	$40.19
G0444 Annual depression screening, 5 to 15 minutes	54	54	$48.00	$18.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes	49	49	$48.00	$18.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$439.00	$158.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	13	$283.00	$116.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$196.00	$77.43
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	13	13	$143.00	$50.90

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	675	304	$287.00	$123.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	205	205	$310.00	$127.28
G0442 Annual alcohol misuse screening, 5 to 15 minutes	202	202	$48.00	$18.21
G0444 Annual depression screening, 5 to 15 minutes	196	196	$48.00	$17.88
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$195.00	$84.32
G0179 Physician re-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 to affirm the initial imp	13	13	$110.00	$39.92
99496 Transitional care management services for problem of high complexity	13	13	$617.00	$270.78

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	722	330	$287.00	$126.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	164	164	$310.00	$130.75
G0179 Physician re-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 to affirm the initial imp	102	46	$110.00	$39.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	17	$283.00	$101.10
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	43	37	$143.00	$51.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$439.00	$164.70
G0442 Annual alcohol misuse screening, 5 to 15 minutes	31	31	$48.00	$18.40
G0444 Annual depression screening, 5 to 15 minutes	29	29	$48.00	$18.40
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$195.00	$89.58
99238 Hospital discharge day management, 30 minutes or less	15	15	$196.00	$70.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	14	$196.00	$70.30

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	647	317	$287.00	$105.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	142	142	$310.00	$113.76
G0179 Physician re-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 to affirm the initial imp	119	54	$110.00	$39.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	118	35	$196.00	$71.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	73	25	$283.00	$103.48
99213 Established patient office or other outpatient visit, typically 15 minutes	52	46	$195.00	$73.41
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	43	39	$143.00	$52.12
G0442 Annual alcohol misuse screening, 5 to 15 minutes	28	28	$48.00	$17.63
99442 Telephone medical discussion with physician, 11-20 minutes	19	19	$74.16	$72.55
99443 Telephone medical discussion with physician, 21-30 minutes	18	18	$107.00	$105.62
99238 Hospital discharge day management, 30 minutes or less	16	16	$196.00	$67.64
G0444 Annual depression screening, 5 to 15 minutes	12	12	$48.00	$17.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$549.00	$199.91

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	1,093	440	$212.58	$104.26
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	900	12	$0.41	$0.11
36415 Insertion of needle into vein for collection of blood sample	783	367	$20.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	598	349	$40.00	$8.45
80053 Blood test, comprehensive group of blood chemicals	536	357	$105.00	$11.49
80061 Blood test, lipids (cholesterol and triglycerides)	475	339	$66.00	$14.53
84443 Blood test, thyroid stimulating hormone (TSH)	445	338	$70.00	$18.30
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled	420	36	$2.00	$1.01
82550 Creatine kinase (cardiac enzyme) level, total	374	251	$27.00	$7.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	347	75	$131.39	$70.88
83036 Hemoglobin A1C level	251	149	$60.00	$10.51
G0179 Physician re-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 to affirm the initial imp	228	95	$72.63	$39.56
85610 Blood test, clotting time	168	22	$23.00	$4.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	156	156	$121.25	$108.84
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge	151	39	$3.18	$2.78
87086 Bacterial colony count, urine	147	83	$35.00	$8.79
84439 Thyroxine (thyroid chemical), free	136	97	$41.00	$9.82
81001 Manual urinalysis test with examination using microscope, automated	128	78	$22.00	$3.45
82306 Vitamin d-3 level	127	103	$140.00	$32.23
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	100	57	$40.00	$9.42
G0103 Prostate cancer screening; prostate specific antigen test (psa)	96	96	$95.00	$20.03
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	80	77	$81.58	$51.18
77063 Screening digital tomography of both breasts	71	71	$75.00	$23.19
77067 Screening mammography	70	70	$300.00	$91.38
99213 Established patient office or other outpatient visit, typically 15 minutes	65	58	$141.46	$70.74
82728 Ferritin (blood protein) level	60	38	$72.00	$14.85
83550 Iron binding capacity	60	38	$40.00	$9.52
83540 Iron level	60	38	$35.00	$7.05
87088 Bacterial urine culture	58	43	$20.00	$8.81
81003 Automated urinalysis test	56	46	$18.00	$2.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	51	$228.55	$133.22
87077 Bacterial culture for aerobic isolates	47	32	$50.00	$8.79
82607 Cyanocobalamin (vitamin B-12) level	43	34	$77.00	$16.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	42	16	$199.60	$101.52
80048 Blood test, basic group of blood chemicals (calcium, total)	41	37	$59.00	$9.21
84550 Uric acid level, blood	41	30	$25.00	$4.92
82570 Creatinine level to test for kidney function or muscle injury	39	39	$25.00	$5.63
82043 Urine microalbumin (protein) level	37	37	$70.00	$6.29
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	35	27	$35.00	$7.04
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	31	11	$45.00	$21.66
82746 Folic acid level	27	23	$80.00	$16.01
99238 Hospital discharge day management, 30 minutes or less	25	21	$140.92	$71.20
77080 Dxa bone density measurement of hip, pelvis, spine	24	24	$81.46	$28.51
71046 X-ray of chest, 2 views	22	18	$85.00	$19.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	18	$50.00	$15.67
G0008 Administration of influenza virus vaccine	22	22	$20.00	$15.90
99225 Subsequent observation care, typically 25 minutes per day	21	15	$142.95	$71.26
83735 Magnesium level	20	13	$24.00	$7.29
99219 Hospital observation care, typically 50 minutes	18	14	$256.89	$132.36
90682 Influenza vaccine, quadrivalent derived from recombinant dna	18	18	$110.00	$54.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$325.00	$196.68
83880 Natriuretic peptide (heart and blood vessel protein) level	14	11	$110.00	$38.47
76536 Ultrasound of head and neck	14	12	$270.00	$81.48
87185 Detection of antimicrobial drug (antibiotic, antifungal, antiviral)	13	12	$15.00	$5.16
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$252.00	$151.94

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	1,029	377	$200.00	$103.09
36415 Insertion of needle into vein for collection of blood sample	540	295	$20.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	446	288	$105.00	$12.78
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	435	282	$40.00	$9.39
80061 Blood test, lipids (cholesterol and triglycerides)	417	280	$66.00	$16.17
82550 Creatine kinase (cardiac enzyme) level, total	376	260	$27.00	$7.86
84443 Blood test, thyroid stimulating hormone (TSH)	374	270	$70.00	$20.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	334	110	$120.00	$71.00
G0179 Physician re-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 to affirm the initial imp	204	78	$71.47	$40.09
83036 Hemoglobin A1C level	172	109	$60.00	$11.70
85610 Blood test, clotting time	167	18	$23.00	$4.75
84439 Thyroxine (thyroid chemical), free	138	108	$41.00	$10.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	123	123	$115.00	$104.76
G0103 Prostate cancer screening; prostate specific antigen test (psa)	99	99	$95.00	$22.26
82570 Creatinine level to test for kidney function or muscle injury	96	88	$25.00	$6.14
82043 Urine microalbumin (protein) level	96	88	$70.00	$6.94
81001 Manual urinalysis test with examination using microscope, automated	84	67	$22.00	$3.84
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	82	79	$80.49	$51.77
87086 Bacterial colony count, urine	75	56	$35.00	$9.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	66	$220.00	$133.29
82306 Vitamin d-3 level	63	44	$140.00	$35.82
G0008 Administration of influenza virus vaccine	59	58	$20.00	$19.51
99213 Established patient office or other outpatient visit, typically 15 minutes	57	42	$135.00	$70.36
90682 Influenza vaccine, quadrivalent derived from recombinant dna	53	53	$55.00	$52.30
84480 Thyroid hormone, t3 measurement, total	47	41	$80.00	$17.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	24	$170.00	$101.71
81003 Automated urinalysis test	43	40	$18.00	$2.71
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	42	29	$40.00	$10.46
71046 X-ray of chest, 2 views	36	31	$85.00	$18.27
84550 Uric acid level, blood	34	26	$25.00	$5.47
87088 Bacterial urine culture	33	27	$20.00	$9.79
77067 Screening mammography	32	32	$300.00	$93.27
77063 Screening digital tomography of both breasts	32	32	$75.00	$23.50
87804 Detection test by immunoassay with direct visual observation for influenza virus	32	15	$45.00	$16.22
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	28	22	$35.00	$7.82
83540 Iron level	27	18	$35.00	$7.83
99238 Hospital discharge day management, 30 minutes or less	27	23	$115.00	$71.14
83735 Magnesium level	26	23	$24.00	$8.10
83550 Iron binding capacity	25	16	$40.00	$10.57
82728 Ferritin (blood protein) level	24	15	$72.00	$16.49
80048 Blood test, basic group of blood chemicals (calcium, total)	24	18	$59.00	$10.23
85652 Red blood cell sedimentation rate, to detect inflammation, automated	22	20	$20.00	$3.26
82607 Cyanocobalamin (vitamin B-12) level	21	19	$77.00	$17.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	19	$50.00	$18.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$325.00	$197.74
77080 Dxa bone density measurement of hip, pelvis, spine	17	17	$158.94	$31.49
J1040 Injection, methylprednisolone acetate, 80 mg	15	15	$20.00	$12.29
72220 X-ray of sacrum and tailbone, minimum of 2 views	13	13	$80.00	$19.59
76700 Ultrasound of abdomen	12	12	$250.00	$77.71
95810 Sleep monitoring of patient (6 years or older) in sleep lab	11	11	$1565.00	$529.20

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	1,075	419	$200.00	$101.83
36415 Insertion of needle into vein for collection of blood sample	643	363	$20.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	578	370	$105.00	$13.54
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	546	358	$40.00	$10.45
84443 Blood test, thyroid stimulating hormone (TSH)	502	331	$70.00	$22.59
80061 Blood test, lipids (cholesterol and triglycerides)	501	329	$66.00	$8.90
82550 Creatine kinase (cardiac enzyme) level, total	422	289	$27.00	$3.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	358	87	$120.00	$70.03
83036 Hemoglobin A1C level	208	121	$60.00	$13.05
84439 Thyroxine (thyroid chemical), free	159	112	$41.00	$12.12
G0179 Physician re-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 to affirm the initial imp	157	59	$70.00	$39.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	135	135	$115.00	$108.97
82043 Urine microalbumin (protein) level	116	86	$70.00	$7.49
82570 Creatinine level to test for kidney function or muscle injury	116	86	$25.00	$6.96
84480 Thyroid hormone, t3 measurement, total	108	77	$80.00	$19.06
85610 Blood test, clotting time	92	18	$23.00	$5.28
G0103 Prostate cancer screening; prostate specific antigen test (psa)	81	81	$95.00	$24.73
87086 Bacterial colony count, urine	80	52	$35.00	$10.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	67	$220.00	$132.62
83540 Iron level	67	45	$35.00	$8.70
81001 Manual urinalysis test with examination using microscope, automated	65	42	$22.00	$4.26
82728 Ferritin (blood protein) level	61	43	$72.00	$18.33
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	60	53	$80.00	$51.40
G0008 Administration of influenza virus vaccine	59	59	$20.00	$19.60
83550 Iron binding capacity	58	41	$40.00	$11.75
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge	56	29	$4.07	$3.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	19	$170.00	$99.93
82306 Vitamin d-3 level	53	40	$140.00	$36.53
90662 Influenza vaccine split virus, preservative free	52	52	$58.00	$48.05
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha)	49	27	$6.00	$4.90
84550 Uric acid level, blood	48	29	$25.00	$3.52
85652 Red blood cell sedimentation rate, to detect inflammation, automated	42	37	$20.00	$3.63
83735 Magnesium level	34	27	$24.00	$9.01
81003 Automated urinalysis test	32	29	$18.00	$3.02
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$135.00	$69.93
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	32	22	$40.00	$11.62
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	31	20	$35.00	$8.69
82607 Cyanocobalamin (vitamin B-12) level	30	22	$77.00	$20.27
80048 Blood test, basic group of blood chemicals (calcium, total)	30	21	$59.00	$11.06
99238 Hospital discharge day management, 30 minutes or less	26	23	$115.00	$70.13
87088 Bacterial urine culture	23	18	$20.00	$10.88
84100 Phosphate level	21	19	$25.00	$3.01
71020 X-ray of chest, 2 views, front and side	21	20	$85.00	$13.82
83721 Ldl cholesterol level	18	11	$68.00	$12.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$310.00	$157.88
87077 Bacterial culture for aerobic isolates	16	14	$50.00	$10.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$325.00	$196.44

Medical Specialties & State Licenses

CMS Verified: 2021-11-09

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX L7479

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

163030303 (TX)

Hospital & Practice Group Affiliations

Regional Clinics Of Longview

802 Medical Cir, Longview, TX 756055204

Phone: 9032321622

Regional Clinics Of Longview

1009 N 4th St, Longview, TX 756014768

Phone: 9037573808

Regional Clinics Of Longview

2901 4th St, Longview, TX 756055128

Phone: 9037581818

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location June 18, 2020

Registered at 802 MEDICAL DR STE 300, LONGVIEW, TX 756055204 (Tel: 9032321622)

📍

Updated Business Mailing Address June 18, 2020

Registered at PO BOX 19036, BELFAST, ME 049154085 (Tel: 9032321622)

📍

Updated Practice Location June 25, 2018

Registered at 707 HOLLYBROOK DR, LONGVIEW, TX 75605 (Tel: 9037530760)

📍

Updated Business Mailing Address June 25, 2018

Registered at PO BOX 610393, DALLAS, TX 752610393 (Tel: 9032916187)

✅

NPI Profile Active May 18, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 18, 2015

Registered at 802 MEDICAL DR, SUITE 100, LONGVIEW, TX 756055100 (Tel: 9032367090)

📍

Updated Business Mailing Address May 18, 2015

Registered at PO BOX 847176, DALLAS, TX 752847176 (Tel: 9032371800)

👤

Provider Name / Credentials Updated May 18, 2015

Recorded as KENNETH MCCLURE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2015

Internal Medicine (License #L7479 in TX)

🟢

Initial NPI Registration & Enumeration March 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1770550311

Entity Type:

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

Enumeration Date: March 02, 2006

Last Update: November 09, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 19036

Belfast, ME 049154085

Phone: 9032321622

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

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