DR. RACHEL LEANNE MCCLUNG M.D.
NPI 1487880621
Pediatrics in Winston Salem, NC
NPI Status: Active since June 02, 2009
Contact Information
1350 WHITAKER RIDGE DR
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 718-8000
Fax: (336) 718-8011
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About RACHEL MCCLUNG
This page provides the complete NPI Profile along with additional information for Rachel Mcclung, a pediatrician established in Winston Salem, North Carolina with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1487880621 assigned on June 2009. The practitioner's primary taxonomy code is 208000000X with license number 2012-00186 (NC). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1487880621
- Provider Name
- DR. RACHEL LEANNE MCCLUNG M.D.
- Other Name
- RACHEL LEANNE SIMPSON
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106
- Location Phone
- (336) 718-8000
- Location Fax
- (336) 718-8011
- Mailing Address
- PO BOX 60447 CHARLOTTE, NC 28260
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-02-2009
- Last Update Date
- 01-28-2022
- Code Navigator
A pediatrician like Rachel Mcclung is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2012-00186
- License State
- NC
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Bronze Standard | with Novant Health - EPO
- Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health - EPO
- Blue Home Gold Standard | with Novant Health - EPO
- Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Silver Standard | with Novant Health - EPO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Bronze Standard | Limited Statewide Doctors - POS
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
- WellCare Secure Health Bronze - PPO
- WellCare Secure Health Gold - PPO
- WellCare Secure Health Silver - PPO
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 |
|---|---|---|---|
| 5921273 | MEDICAID (05) | NC |
Medicare Participation & PECOS Enrollment Status
Rachel Mcclung 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
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
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 27106 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. RACHEL LEANNE MCCLUNG M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 8 | 7 | 8 | 8 | 0 | 6 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 16 | 8 | 0 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 1 + 6 + 8 + 0 + 6 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1487880621 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1972886273 | MRS. BETHANY SELLERS GOODMAN CPNP Individual | Nurse Practitioner | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1134515596 | NOVANT MEDICAL GROUP, INC. Organization | Psychiatry & Neurology (Psychiatry) | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 277-1800 |
| 1003182015 | DR. SOREN MORGAN JOHNSON M.D. Individual | Pediatrics | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1013991066 | DAVID SCOTT ANDERSON MD Individual | Pediatrics | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1578086179 | ALYSSA BASEN LIGHT PA-C Individual | Physician Assistant | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1700865706 | ALFRED DUDLEY BELL MD Individual | Pediatrics | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1922073451 | HAROLD FRANK LATTA MD Individual | Pediatrics | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1295359123 | JENNA ANDREWS PA-C Individual | Physician Assistant | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1407081334 | DR. LINDSEY RAE SLECHTA M.D. Individual | Pediatrics | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1386604213 | DAVID YOTHAM RAINEY MD Individual | Pediatrics | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1376523571 | BARBARA ANN CLIFFORD MD Individual | Pediatrics | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1750351482 | MEGAN R. FARRELL CNP Individual | Nurse Practitioner | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1194785196 | JULIE MARIE PINDER MD Individual | Pediatrics | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1083801724 | MRS. KIMBERLY ANNE WOLLGREN O'NEILL LPC Individual | Counselor (Mental Health) | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1740569599 | ANKITA B. PATEL D.O. Individual | Pediatrics | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1487325940 | NOVANT HEALTH MEDICAL GROUP, LLC Organization | Pediatrics | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1710345533 | MRS. JULIE LORRAINE SAUL CPNP, MSN Individual | Nurse Practitioner | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1902589310 | DR. MACKENZIE RAE HAUSER-CREWS NP Individual | Nurse Practitioner | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1770161929 | CHRYSANTHE ALYSSA HAWKINS MD Individual | Pediatrics | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
| 1255074548 | MATTHEW KENRIC AHRENHOLZ MD Individual | Pediatrics | 1350 WHITAKER RIDGE DR WINSTON SALEM, NC 27106 (336) 718-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487880621, enumerated in the NPI registry as an "individual" on June 02, 2009
The provider is located at 1350 Whitaker Ridge Dr Winston Salem, Nc 27106 and the phone number is (336) 718-8000
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, CareSource,. 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.
Medicare beneficiaries should expect a typical cost of $83.9 with an average copayment of $20.97 for new patient appointments. Established patients should expect a typical charge of $95.94 and an average copayment of 23.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 02, 2009. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.