JULIANA MCCLAIN MD
NPI 1740575505
Pediatrics in Oklahoma City, OK
NPI Status: Active since June 09, 2011
Contact Information
940 NE 13TH ST
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-4417
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About JULIANA MCCLAIN
This page provides the complete NPI Profile along with additional information for Juliana Mcclain, a pediatrician established in Oklahoma City, Oklahoma with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1740575505 assigned on June 2011. The practitioner's primary taxonomy code is 208000000X with license number 28673 (OK). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1740575505
- Provider Name
- JULIANA MCCLAIN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 940 NE 13TH ST OKLAHOMA CITY, OK 73104
- Location Phone
- (405) 271-4417
- Mailing Address
- 940 NE 13TH ST OKLAHOMA CITY, OK 73104
- Mailing Phone
- (405) 271-4417
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-09-2011
- Last Update Date
- 06-09-2011
- Code Navigator
A pediatrician like Juliana Mcclain 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.
- 28673
- License State
- OK
- 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 PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Catastrophic - PPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Balance by Medica Gold Standard - PPO
- Balance by Medica Silver $0 Copay PCP Visits - PPO
- Balance by Medica Silver Standard - PPO
- Harmony by Medica Bronze $0 Copay PCP Visits - PPO
- Harmony by Medica Bronze Premier - PPO
- Harmony by Medica Catastrophic - PPO
- Harmony by Medica Expanded Bronze Standard - PPO
- Harmony by Medica Gold $0 Copay PCP Visits - PPO
- Harmony by Medica Gold Standard - PPO
- Harmony by Medica Silver $0 Copay PCP Visits - PPO
- Harmony by Medica Silver Standard - PPO
- TARO Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- TARO Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- TARO Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Juliana 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
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 73104 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.46
- Minimum New Patient Price $53
- Maximum New Patient Price $162.61
- Average New Patient Copayment $20.61
- Minimum New Patient Copayment $13.25
- Maximum New Patient Copayment $40.65
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.27
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $132.4
- Average Established Patient Copayment $23.56
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.1
* 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 | 7 | 5 | 5 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 10 | 7 | 10 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 1 + 0 + 7 + 1 + 0 + 5 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1740575505 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1669460549 | MS. SUSAN J HASSED MS Individual | Genetic Counselor, MS | 940 NE 13TH ST CHO - GENETICS 2B 2418 OKLAHOMA CITY, OK 73104 (405) 271-8685 |
| 1972594471 | DR. JASON MICHAEL WAGNER MD Individual | Radiology (Diagnostic Radiology) | 940 NE 13TH ST SUITE 4G4250 OKLAHOMA CITY, OK 73104 (405) 271-5125 |
| 1164490777 | AMANDA L BOGIE MD Individual | Pediatrics (Pediatric Emergency Medicine) | 940 NE 13TH ST 1B1206 OKLAHOMA CITY, OK 73104 (405) 271-4407 |
| 1881662476 | PRUE ARMSTRONG RCP Individual | Respiratory Therapist, Certified | 940 NE 13TH ST 3314 OKLAHOMA CITY, OK 73104 (405) 271-6390 |
| 1558339911 | VIRGINIA L GARRISON MD Individual | Radiology (Diagnostic Radiology) | 940 NE 13TH ST 4G4250 OKLAHOMA CITY, OK 73104 (405) 271-5125 |
| 1154399426 | MORRIS R GESSOUROUN MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 940 NE 13TH ST 6G6115 OKLAHOMA CITY, OK 73104 (405) 271-5211 |
| 1972571271 | HELEN C ALLEN MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 940 NE 13TH ST 2B2416 OKLAHOMA CITY, OK 73104 (405) 271-5211 |
| 1962470294 | DR. PORNPIMOL RIANTHAVORN M.D. Individual | Pediatrics | 940 NE 13TH ST 2B2309 OKLAHOMA CITY, OK 73104 (405) 271-4409 |
| 1467420703 | VENUSTO H SAN JOAQUIN MD Individual | Pediatrics (Pediatric Infectious Diseases) | 940 NE 13TH ST 1B1409 OKLAHOMA CITY, OK 73104 (405) 271-5703 |
| 1023086360 | THERESA C THAI MD Individual | Radiology (Diagnostic Radiology) | 940 NE 13TH ST 4G4250 OKLAHOMA CITY, OK 73104 (405) 271-5125 |
| 1083682322 | JANE F SILOVSKY PHD Individual | Psychologist | 940 NE 13TH ST 3B3406 OKLAHOMA CITY, OK 73104 (405) 271-8858 |
| 1659349900 | SUSAN L LAVICTOIRE PA Individual | Physician Assistant | 940 NE 13TH ST 3B3311 OKLAHOMA CITY, OK 73104 (405) 271-5789 |
| 1588632897 | SARAH M HAWK PA Individual | Physician Assistant | 940 NE 13TH ST MRI 3000 OKLAHOMA CITY, OK 73104 (405) 271-3661 |
| 1487622791 | SHARON LANCASTER PA Individual | Physician Assistant | 940 NE 13TH ST MRI 3000 OKLAHOMA CITY, OK 73104 (405) 271-4412 |
| 1790753044 | TERRENCE L STULL MD Individual | Pediatrics (Pediatric Infectious Diseases) | 940 NE 13TH ST 1B1409 OKLAHOMA CITY, OK 73104 (405) 271-5703 |
| 1609844950 | LISA SWISHER PHD Individual | Psychologist | 940 NE 13TH ST 3B3406 OKLAHOMA CITY, OK 73104 (405) 271-8858 |
| 1962471045 | J ANDY SULLIVAN MD Individual | Orthopaedic Surgery | 940 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-6667 |
| 1275502205 | ROGER E SHELDON MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 940 NE 13TH ST 2B2311 OKLAHOMA CITY, OK 73104 (405) 271-5215 |
| 1568430643 | CHARLES ARNOLD MD Individual | Radiology (Nuclear Radiology) | 940 NE 13TH ST 4G4250 OKLAHOMA CITY, OK 73104 (405) 271-5125 |
| 1588632772 | DALE M BRANNON MD Individual | Radiology (Nuclear Radiology) | 940 NE 13TH ST 4G4250 OKLAHOMA CITY, OK 73104 (405) 271-5125 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740575505, enumerated in the NPI registry as an "individual" on June 09, 2011
The provider is located at 940 Ne 13th St Oklahoma City, Ok 73104 and the phone number is (405) 271-4417
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica and. 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 $82.46 with an average copayment of $20.61 for new patient appointments. Established patients should expect a typical charge of $94.27 and an average copayment of 23.56. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 09, 2011. 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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