DR. AMANDA MARIE MCCLURE (MD) – Colon & Rectal Surgery Physician, NPI 1629230156

DR. AMANDA MARIE MCCLURE (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in COLORECTAL SURGERY (PROCTOLOGY), GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 4301092562 (MI). The NPI Number for DR. AMANDA MARIE MCCLURE (MD) is 1629230156

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA MARIE MCCLURE (MD)
NPI
1629230156
Phone
(734) 747-6766
Address
24 FRANK LLOYD WRIGHT DR
Enumeration Date
26 June 2008
Last Update Date
23 November 2015

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
7347128150
Graduation Year
2008 (18 years ago)
PAC ID
3375785389
Group Practice PAC ID
2466351440
Professional Enrollment ID
I20151202000269
Address ID
MI481978633YP5325XDRXX305
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:17State licenses:3Digital endpointsOther names

107 COLORECTAL SURGERY (PROCTOLOGY) in MI

Provider Addresses for DR. AMANDA MARIE MCCLURE (MD)

  • Domino's Farms Office Park, 24, Frank Lloyd Wright Drive, Domino Farms, Ann Arbor Charter Township, Washtenaw County, Michigan, 48105, United States

    PO BOX 0446 LOBBY J

    ANN ARBOR, MI 481059484

    Phone: (734) 747-6766

    Fax: (734) 222-3100

    Type: Mailing

  • 5325 ELLIOTT DR

    SUITE 104

    YPSILANTI, MI 481978633

    Phone: (734) 712-8150

    Fax: (734) 712-8151

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 207 Open Payments records for all available years, with a total value of $113,108.

Total Amount is formed as General ($113,108) + Research ($0) + Ownership ($0) = $113,108.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($83,292).

Total Amount

$113,108

General + Research + Ownership

Payments

207

Total payment records

General Amount

$113,108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2015-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20151202000269IColorectal Surgery (Proctology)MITBD

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
46600Diagnostic exam of anus using an endoscope3433$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2718$0
99215Established patient office or other outpatient visit, 40-54 minutes2626$0
91120Test for tone and sensation of rectum and anus2222$0
View full utilization report →

Insurance plans in this area (ZIP 48105)

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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: 2466351440View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMI
Interventional RadiologyMI
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Physician AssistantMI
-MI
-MI
Internal Medicine, Geriatric MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Hospitalist, Internal MedicineMI

Reviews

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Frequently asked questions

Does DR. AMANDA MARIE MCCLURE (MD) have a public NPI I can cite?
Public records show DR. AMANDA MARIE MCCLURE (MD) under NPI 1629230156.
Is DR. AMANDA MARIE MCCLURE (MD)'s NPI status active today?
Active status means DR. AMANDA MARIE MCCLURE (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. AMANDA MARIE MCCLURE (MD)?
NPPES ties DR. AMANDA MARIE MCCLURE (MD) to Colon & Rectal Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. AMANDA MARIE MCCLURE (MD)?
The directory associates DR. AMANDA MARIE MCCLURE (MD) with Ann Arbor, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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