MR. CARLTON WAYNE MCCLELLAN PA-C
NPI 1477673622
Physician Assistant - Medical in Frederick, MD
NPI Status: Active since March 30, 2007
Contact Information
196 THOMAS JOHNSON DR
STE 215
FREDERICK, MD
ZIP 21702
Phone: (301) 668-9988
Fax: (301) 668-9977
- Individual
- Male
- Years of Experience 23
- Physician Assistant
- Medical
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About CARLTON MCCLELLAN
This page provides the complete NPI Profile along with additional information for Carlton Mcclellan, a primary care provider established in Frederick, Maryland with a medical specialization in Physician Assistant, focusing in medical and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1477673622 assigned on March 2007. The practitioner's primary taxonomy code is 363AM0700X with license number C002852 (MD). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1477673622
- Provider Name
- MR. CARLTON WAYNE MCCLELLAN PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 196 THOMAS JOHNSON DR STE 215 FREDERICK, MD 21702
- Location Phone
- (301) 668-9988
- Location Fax
- (301) 668-9977
- Mailing Address
- 196 THOMAS JOHNSON DR STE 215 FREDERICK, MD 21702
- Mailing Phone
- (301) 668-9988
- Mailing Fax
- (301) 668-9977
- Medical School Name
- OTHER
- Graduation Year
- 2003
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-30-2007
- Last Update Date
- 04-27-2010
- Code Navigator
A primary care provider (PCP) like Carlton Mcclellan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- C002852
- License State
- MD
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 163692ZELV | MEDICARE PIN (08) | MD |
Medicare Participation & PECOS Enrollment Status
Carlton Mcclellan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Carlton Mcclellan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2860453081
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20041021000368, I20140617000021
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Testing for presence of drug, by chemistry analyzers
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
This service was performed 158 times for 110 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 1,237 times for 256 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 564 times for 225 patientsChemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
This service was performed 186 times for 118 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| e-Prescribing | 93% | 1760 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Medication Reconciliation | 92% | 24 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 51% | 526 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 99% | 526 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 24% | 526 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 7 | 7 | 6 | 7 | 3 | 6 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 12 | 7 | 6 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 2 + 7 + 6 + 6 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1477673622 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841283579 | SALLYANN MCCARTHY RN Individual | Registered Nurse | 196 THOMAS JOHNSON DR SUITE 120-B FREDERICK, MD 21702 (301) 698-7385 |
| 1730172487 | DEBORAH H. ROGAN RN Individual | Registered Nurse | 196 THOMAS JOHNSON DR SUITE 120B FREDERICK, MD 21702 (301) 698-7385 |
| 1043275449 | MRUTHYUNJAYA GONCHIGAR M.D. Individual | Pain Medicine (Pain Medicine) | 196 THOMAS JOHNSON DR SUITE 215 FREDERICK, MD 21702 (301) 668-9988 |
| 1346261385 | MOHAMED K YOUSSEF MD Individual | Pain Medicine (Interventional Pain Medicine) | 196 THOMAS JOHNSON DR SUITE 215 FREDERICK, MD 21702 (301) 668-9988 |
| 1548270671 | JOSEPH FRANCIS MULLEN DDS Individual | Dentist | 196 THOMAS JOHNSON DR STE 200 FREDERICK, MD 21702 (301) 663-5550 |
| 1083738082 | DR. JOHN LEWIS KRUMPOTICH JR. D.D.S. Individual | Dentist (General Practice) | 196 THOMAS JOHNSON DR SUITE 130 FREDERICK, MD 21702 (301) 663-5552 |
| 1568623056 | DENTAL ARTS OF FREDERICK Organization | Clinic/Center (Dental) | 196 THOMAS JOHNSON DR SUITE 130 FREDERICK, MD 21702 (301) 663-5552 |
| 1073746640 | LUNG DOCTORS, INC. Organization | Preferred Provider Organization | 196 THOMAS JOHNSON DR SUITE 230 FREDERICK, MD 21702 (301) 524-4064 |
| 1629306998 | SMILES FOREVER Organization | Dentist | 196 THOMAS JOHNSON DR SUITE #235 FREDERICK, MD 21702 (301) 668-7700 |
| 1053623991 | PRIMARY CARE ASSOCIATES Organization | Medicare Defined Swing Bed Unit | 196 THOMAS JOHNSON DR SUITE 225 FREDERICK, MD 21702 (301) 694-5483 |
| 1417237553 | DR. EUNJOO SONG STRINGER DMD Individual | Dentist (General Practice) | 196 THOMAS JOHNSON DR SUITE 200 FREDERICK, MD 21702 (301) 663-5550 |
| 1386795573 | DR. KHONDKER M SHAMSUZZOHA M.D. Individual | Anesthesiology | 196 THOMAS JOHNSON DR SUITE # 215 FREDERICK, MD 21702 (301) 668-9988 |
| 1235475674 | GAYATRI PESTONJEE Individual | Nurse Anesthetist, Certified Registered | 196 THOMAS JOHNSON DR SUITE 215 FREDERICK, MD 21702 (301) 668-9988 |
| 1720326002 | DR. EUNJOO SONG STRINGER DMD Organization | Dentist | 196 THOMAS JOHNSON DR SUITE 200 FREDERICK, MD 21702 (301) 663-5550 |
| 1265752414 | DR. DARRELL EUGENE LEWIS M.D Individual | Anesthesiology | 196 THOMAS JOHNSON DR SUITE 215 FREDERICK, MD 21702 (301) 668-9988 |
| 1790921450 | NEWBRIDGE SPINE AND PAIN CENTER LLC Organization | Specialist | 196 THOMAS JOHNSON DR SUITE 215 FREDERICK, MD 21702 (301) 668-9988 |
| 1184722258 | DR. WILLIAM DAVID STRAYHORN IV M.D., PH.D. Individual | Psychiatry & Neurology (Neurology) | 196 THOMAS JOHNSON DR SUITE 120 FREDERICK, MD 21702 (240) 566-3130 |
| 1255592630 | DR. SANA SHAIKH MD Individual | Anesthesiology (Pain Medicine) | 196 THOMAS JOHNSON DR SUITE 215 FREDERICK, MD 21702 (301) 668-9988 |
| 1841698925 | ALEXANDER KING L.AC. Individual | Acupuncturist | 196 THOMAS JOHNSON DR 125 FREDERICK, MD 21702 (301) 698-0668 |
| 1447214549 | DR. SHAHID RAFIQ MD Individual | Neuromusculoskeletal Medicine & OMM | 196 THOMAS JOHNSON DR SUITE 120 FREDERICK, MD 21702 (240) 566-3130 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477673622, enumerated in the NPI registry as an "individual" on March 30, 2007
The provider is located at 196 Thomas Johnson Dr Ste 215 Frederick, Md 21702 and the phone number is (301) 668-9988
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider has more than 23 years of experience.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes and Testing for presence of drug, by chemistry analyzers.
This NPI record was last updated on March 30, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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