Carlton W Mcclellan (NPI# 1477673622, PAC ID# 2860453081) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1477673622 |
| PAC ID by PECOS | 2860453081 |
| Professional Enrollment ID | I20041021000368 |
| Full Name | Carlton W Mcclellan |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Address |
11350 Pembrooke Sq Suite 304 Waldorf MD 20603-4809 |
| Phone Number | 5713668845 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4385682061 |
| Number of Group Practice Members | 969 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210005 | FREDERICK MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 133 Defense Hwy, Annapolis, MD 21401-7015 | PRIVIA MEDICAL GROUP,LLC | |
| 11350 Pembrooke Sq, Suite 304, Waldorf, MD 20603-4809 | 5713668845 | PRIVIA MEDICAL GROUP,LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 80% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 80% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Physicians | 987 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Jones-sheppard | Nurse Practitioner | Privia Medical Group,llc | 3903 Fair Ridge Dr, Suite 219, Fairfax, VA 22033-2945 |
| Ryan Timothy Pyles | Physician Assistant | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Emily Christine Stano | Psychologist, Clinical | Privia Medical Group,llc | 1901 Research Blvd, Suite 160, Rockville, MD 20850-6122 |
| Deidre Ann Fisher | Nurse Practitioner | Privia Medical Group,llc | 7505 Democracy Blvd, A113, Bethesda, MD 20817-1238 |
| Stephanie Carter | Family Medicine | Privia Medical Group,llc | 3650 Joseph Swck Dr, 205b All Female Obgyn LLC, Fairfax, VA 22033-1710 |
| Belen Tesfaye | Gastroenterology | Privia Medical Group,llc | 18121 Georgia Ave, Suite 103, Olney, MD 20832-1437 |
| Anita Sikand | Obstetrics/gynecology | Privia Medical Group,llc | 2440 M Street, 320 Pmg_cwhp_dc Office', Washington, DC 20037-1473 |
| Alicia Morgan-cooper | Pediatric Medicine | Privia Medical Group,llc | One E University Pkwy, 109 Pmg_viped_baltimore Office, Baltimore, MD 21218-2432 |
| Carrie S Goodrich | Nurse Practitioner | Privia Medical Group,llc | 142 Smithfield Rd, Saint Stephens Church, VA 23148-2129 |
| Jonathan L Siddon | Internal Medicine | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Street Address |
11350 PEMBROOKE SQ SUITE 304 |
| City | WALDORF |
| State | MD |
| Zip | 20603-4809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mruthyunjaya Gonchigar | Anesthesiology | Privia Medical Group,llc | 11350 Pembrooke Sq, Suite 304, Waldorf, MD 20603-4809 |
| Jennifer K Wade | Nurse Practitioner | The Neurology Clinic, P.C. | 11350 Pembrooke Sq, Suite 312, Waldorf, MD 20603-4809 |
| Cecelia A Gramsky | Nurse Practitioner | Privia Medical Group,llc | 11350 Pembrooke Sq, Suite 304, Waldorf, MD 20603-4809 |
| Shalla H Khan | Allergy/immunology | Privia Medical Group,llc | 11350 Pembrooke Sq, Suite 304, Waldorf, MD 20603-4809 |
| Melvin S Stern | Pediatric Medicine | Privia Medical Group,llc | 11350 Pembrooke Sq, Suite 304, Waldorf, MD 20603-4809 |
| Steven G Adelmeyer | Psychologist, Clinical | Privia Medical Group,llc | 11350 Pembrooke Sq, Suite 304, Waldorf, MD 20603-4809 |
| Patrick Farrell | Chiropractic | Privia Medical Group,llc | 11350 Pembrooke Sq, Suite 304, Waldorf, MD 20603-4809 |
| Chirag Sanghvi | Anesthesiology | Privia Medical Group,llc | 11350 Pembrooke Sq, Suite 304, Waldorf, MD 20603-4809 |
| Mariam D Nejati | Family Medicine | Privia Medical Group,llc | 11350 Pembrooke Sq, Suite 304, Waldorf, MD 20603-4809 |
| Bernadette Morrissey Wood | Nurse Practitioner | Privia Medical Group,llc | 11350 Pembrooke Sq, Suite 304, Waldorf, MD 20603-4809 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nevena Puletic | Nurse Practitioner | Khosrow Davachi,md PC | 45 Saint Particks Dr, Waldorf, MD 20603-4507 |
| Ruth Brozgal | Speech Language Pathologist | Fox Rehab Slp Md LLC | 45 Saint Patricks Dr, Waldorf, MD 20603-4507 |
| Karin Novinger | Speech Language Pathologist | Fox Rehab Slp Md LLC | 45 Saint Patricks Dr, Waldorf, MD 20603-4507 |
| Melinda Sears | Speech Language Pathologist | Fox Rehab Slp Md LLC | 45 Saint Patricks Dr, Waldorf, MD 20603-4507 |
| Ryerson Stinson | Occupational Therapy | Proflex Physical Therapy of Maryland LLC | 10 Saint Patricks Dr, Suite 401, Waldorf, MD 20603-4583 |
| Vabian L Paden | Physical Medicine and Rehabilitation | Paden-life-care LLC | 10 Saint Patricks Dr, Waldorf, MD 20603-4583 |
| Frank Digiovannantonio | Occupational Therapy | Proflex Physical Therapy of Maryland, LLC | 10 Saint Patricks Dr, Waldorf, MD 20603-4583 |
| Dainty J Jackson | Family Medicine | 10 Saint Patricks Dr, Suite 502, Waldorf, MD 20603-4584 | |
| Hadia Riaz Choudhary | Optometry | Frederick J Sauerburger Md Pa | 11345 Pembrooke Sq, Suite 105, Waldorf, MD 20603-4804 |
| Frederick J Sauerburger | Ophthalmology | Frederick J Sauerburger Md Pa | 11345 Pembrooke Sq, Suite 105, Waldorf, MD 20603-4804 |
| Find all physicians in zip 20603 | |||
| City | WALDORF |
| Zip Code | 20603 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WALDORF + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Carlton W Mcclellan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.