JOSHUA TRAVIS MCCLAIN
NPI 1740522960
Emergency Medicine in Hagerstown, MD
NPI Status: Active since March 26, 2013
Contact Information
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 790-8000
- Individual
- Male
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About JOSHUA MCCLAIN
This page provides the complete NPI Profile along with additional information for Joshua Mcclain, a provider established in Hagerstown, Maryland with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1740522960 assigned on March 2013. The practitioner's primary taxonomy code is 207P00000X with license number D0081079 (MD). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1740522960
- Provider Name
- JOSHUA TRAVIS MCCLAIN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742
- Location Phone
- (301) 790-8000
- Mailing Address
- 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742
- Mailing Phone
- (301) 790-8000
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-26-2013
- Last Update Date
- 09-29-2016
- Code Navigator
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D0081079
- License State
- MD
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Joshua Mcclain 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
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.
Critical care, each additional 30 minutes
Critical care, first 30-74 minutes
Electrocardiogram (ecg) 1 to 3 leads with review by physician only
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Initial hospital observation care per day, typically 50 minutes
Initial hospital observation care per day, typically 70 minutes
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
This service was performed 18 times for 14 patientsCritical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 82 times for 82 patientsAn Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
This service was performed 147 times for 141 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 128 times for 125 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 54 times for 52 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 19 times for 19 patientsInitial hospital observation care is a service where healthcare professionals monitor your health for about 50 minutes daily. This helps them understand your condition better, plan treatment, and ensure your safety. It's a routine part of hospital care.
This service was performed 15 times for 15 patientsThis service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
This service was performed 107 times for 100 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 207 times for 199 patientsPhysician 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 21742 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.75
- Minimum New Patient Price $57.99
- Maximum New Patient Price $175.57
- Average New Patient Copayment $22.43
- Minimum New Patient Copayment $14.49
- Maximum New Patient Copayment $43.89
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.11
- Minimum Established Patient Price $18.66
- Maximum Established Patient Price $143.02
- Average Established Patient Copayment $25.52
- Minimum Established Patient Copayment $4.66
- Maximum Established Patient Copayment $35.75
* 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.
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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 | 7 | 4 | 0 | 5 | 2 | 2 | 9 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 10 | 2 | 4 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 1 + 0 + 2 + 4 + 9 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1740522960 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1689609133 | MATTHEW GEORGE WAGNER MD Individual | Psychiatry & Neurology (Psychiatry) | 11116 MEDICAL CAMPUS RD SUITE 2989 HAGERSTOWN, MD 21742 (301) 766-7600 |
| 1083701445 | DIANE BRASHER SULLIVAN LCSW Individual | Social Worker (Clinical) | 11116 MEDICAL CAMPUS RD SUITE 2989 HAGERSTOWN, MD 21742 (301) 766-7600 |
| 1467541631 | DONNA D BUTLER MSW Individual | Social Worker (Clinical) | 11116 MEDICAL CAMPUS RD SUITE 2989 HAGERSTOWN, MD 21742 (301) 766-7600 |
| 1649369836 | LAWRENCE PATRICK RICKER LCPC Individual | Counselor (Professional) | 11116 MEDICAL CAMPUS RD SUITE 2989 HAGERSTOWN, MD 21742 (301) 766-7704 |
| 1326125816 | MS. KIMBERLY ANN BEATTY CRNA Individual | Nurse Anesthetist, Certified Registered | 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742 (301) 665-1717 |
| 1942468665 | MICHAEL D SMITH LCSW-C Individual | Social Worker (Clinical) | 11116 MEDICAL CAMPUS RD SUITE 2989 HAGERSTOWN, MD 21742 (301) 766-7600 |
| 1851698450 | MR. JASON RICHARD TALLEY CRNA Individual | Nurse Anesthetist, Certified Registered | 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742 (301) 665-1717 |
| 1710252150 | MS. SUSAN KNOTT LYONS NP Individual | Nurse Practitioner (Acute Care) | 11116 MEDICAL CAMPUS RD SUITE 2840 HAGERSTOWN, MD 21742 (301) 790-8271 |
| 1821343583 | CASSANDRA LEA CLEVENGER PHARMD Individual | Pharmacist | 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742 (717) 860-4038 |
| 1174518799 | FREDERIC STEPHEN D'ALAURO M.D. Individual | Anesthesiology | 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742 (301) 665-1717 |
| 1356646541 | MR. ABDUL-MALIK JALLOH-JAMBORIA CRNA Individual | Nurse Anesthetist, Certified Registered | 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742 (301) 665-1717 |
| 1174510119 | JERZY H CIOS M.D. Individual | Anesthesiology | 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742 (301) 665-1717 |
| 1689857088 | MRS. JAMY ADELINA BATDORFF MPH, PA-C Individual | Physician Assistant (Medical) | 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742 (301) 790-8300 |
| 1518017441 | SUONG K LEE M.D. Individual | Anesthesiology | 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742 (301) 665-1717 |
| 1285949628 | CANDACE R CRIST M.D, Individual | Emergency Medicine | 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742 (301) 790-8000 |
| 1063708154 | SARA ELIZABETH SMITH LCSW-C Individual | Social Worker (Clinical) | 11116 MEDICAL CAMPUS RD 2989 HAGERSTOWN, MD 21742 (301) 766-7600 |
| 1659709558 | MRS. RONDAL NICOLE ZAPF CRNP Individual | Nurse Practitioner | 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742 (301) 790-8000 |
| 1629296801 | MERITUS MEDICAL CENTER INC Organization | Pulmonary Function Technologist | 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742 (301) 797-2000 |
| 1447578661 | DR. AUDREY ADKINS D.O. Individual | Emergency Medicine | 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742 (301) 790-8000 |
| 1225410749 | MRS. JILL MIKASH CRNP Individual | Nurse Practitioner (Family) | 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742 (301) 790-8300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740522960, enumerated in the NPI registry as an "individual" on March 26, 2013
The provider is located at 11116 Medical Campus Rd Hagerstown, Md 21742 and the phone number is (301) 790-8000
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Molina Healthcare. 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 $89.75 with an average copayment of $22.43 for new patient appointments. Established patients should expect a typical charge of $102.11 and an average copayment of 25.52. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, each additional 30 minutes, Critical care, first 30-74 minutes, Electrocardiogram (ecg) 1 to 3 leads with review by physician only, Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of moderate severity, Initial hospital observation care per day, typically 50 minutes, Initial hospital observation care per day, typically 70 minutes and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.
This NPI record was last updated on March 26, 2013. 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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