KEVIN LEONARD MCCLINTOCK (M.D.) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1366400178

KEVIN LEONARD MCCLINTOCK (M.D.) is a healthcare provider. based in Pueblo, Colorado. specializing in GENERAL PRACTICE, EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 35456 (CO). The NPI Number for KEVIN LEONARD MCCLINTOCK (M.D.) is 1366400178

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN LEONARD MCCLINTOCK (M.D.)
NPI
1366400178
Phone
(719) 542-0032
Address
1107 Pueblo Boulevard Way
Enumeration Date
2 May 2006
Last Update Date
14 February 2020

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
7198469213
Graduation Year
2001 (25 years ago)
PAC ID
6608776729
Group Practice PAC ID
2769394055
Professional Enrollment ID
I20100126000128
Address ID
CO810822005TR410XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

73 GENERAL PRACTICE in CO

Provider Addresses for KEVIN LEONARD MCCLINTOCK (M.D.)

  • 1107 Pueblo Boulevard Way

    Pueblo, CO 810051595

    Phone: (719) 542-0032

    Fax: (719) 542-1413

    Type: Location

  • 1502 E Main St Ste 1

    Trinidad, CO 810822014

    Phone: (719) 846-3060

    Fax: (719) 422-8358

    Type: Location

  • 801, West Colorado Avenue, Trinidad, Las Animas County, Colorado, 81082, United States

    TRINIDAD, CO 810821319

    Phone: (719) 846-3133

    Type: Mailing

  • 1207, Pueblo Boulevard Way, Sunnyheights, Pueblo, Pueblo County, Colorado, 81005, United States

    PUEBLO, CO 810052175

    Phone: (195) 420-0327

    Fax: (719) 542-1413

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($34).

Total Amount

$86

General + Research + Ownership

Payments

5

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040113000460IEmergency MedicineCOTBD
I20100126000128IEmergency MedicineNMTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1919$0
81002Urinalysis, manual test1413$0
87804Detection test by immunoassay with direct visual observation for influenza virus1313$0
View full utilization report →

Insurance plans in this area (ZIP 81005)

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Provider's Procedures

KEVIN LEONARD MCCLINTOCK (M.D.) performs procedures in GENERAL PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINECO93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report8154

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769394055View full group profile
NameSpecialtyState
General SurgeryNM
-CO
Physician AssistantTN
Physician AssistantCT
Family PracticeOR
Family Practice, HospitalistID
Nurse PractitionerCO
Cardiovascular Disease (Cardiology), Internal MedicineCO
General SurgeryCO
Family PracticeCO

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Frequently asked questions

What NPI should I save for KEVIN LEONARD MCCLINTOCK (M.D.)?
Save NPI 1366400178 if you need a stable reference for KEVIN LEONARD MCCLINTOCK (M.D.).
Is KEVIN LEONARD MCCLINTOCK (M.D.) active in the national directory?
KEVIN LEONARD MCCLINTOCK (M.D.)'s public NPI profile is in an active state.
What kind of provider is KEVIN LEONARD MCCLINTOCK (M.D.)?
The page reflects Hospice and Palliative Medicine (Family Medicine) Physician for KEVIN LEONARD MCCLINTOCK (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for KEVIN LEONARD MCCLINTOCK (M.D.)?
We surface Pueblo, Colorado for KEVIN LEONARD MCCLINTOCK (M.D.) based on available NPPES addresses.
Is KEVIN LEONARD MCCLINTOCK (M.D.) a real provider?
This page reflects official NPPES data for NPI 1366400178. Always confirm identity and privileges with the practice and licensing boards.

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