Craig Mcclain, MD
NPI 1225092349 · Gastroenterology Physician · Louisville, KY
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Craig Mcclain, MD is a Gastroenterology Physician provider in Louisville, KY (NPI 1225092349).
Provider details
- NPI number
- 1225092349
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 22402 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
48 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 48 | $117 |
Typical Medicare-allowed amounts for these services range $117–$117 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Furosemide | 95 | 18 |
| Rifaximinbrand: Xifaxan | 94 | 15 |
| Spironolactone | 92 | 17 |
| Ursodiol | 75 | 16 |
| Lactulose | 34 | — |
| Pentoxifylline | 26 | — |
| Azathioprine | 24 | — |
| Carvedilol | 21 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,939 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-14
- Last updated
- 2017-02-14
Frequently asked questions
- What is Craig Mcclain's NPI number?
- Craig Mcclain's National Provider Identifier (NPI) is 1225092349, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Craig Mcclain's specialty?
- Craig Mcclain is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Craig Mcclain located?
- Craig Mcclain's practice location on file with NPPES is 401 E Chestnut St, Louisville, KY 40202-5700.
- What is Craig Mcclain's phone number?
- The practice phone number listed in the NPPES registry for Craig Mcclain is (502) 584-8563.
- Does Craig Mcclain accept Medicare?
- Craig Mcclain is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Craig Mcclain's NPI active?
- Yes — Craig Mcclain's NPI (1225092349) is active in the NPPES registry as of the last update on 2017-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.