HAYLIE RAY MCCLUNG (PA-C) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1093344186

HAYLIE RAY MCCLUNG (PA-C) is a healthcare provider. based in East bethel, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0010-12405 (NC). The NPI Number for HAYLIE RAY MCCLUNG (PA-C) is 1093344186

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
HAYLIE RAY MCCLUNG (PA-C)
NPI
1093344186
Phone
(763) 370-8033
Address
620 229TH LN NE
Enumeration Date
2 April 2020
Last Update Date
5 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9196848111
Graduation Year
2020 (6 years ago)
PAC ID
5799159877
Group Practice PAC ID
8325412737
Professional Enrollment ID
I20230314000764
Address ID
NC277104000DU40XXXCIRX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for HAYLIE RAY MCCLUNG (PA-C)

  • 620 229TH LN NE

    EAST BETHEL, MN 550059801

    Phone: (763) 370-8033

    Type: Location

  • 1875 DEMPSTER ST STE 665

    PARK RIDGE, IL 600681168

    Phone: (847) 825-1590

    Type: Location

  • 1200 NAVAHO DR

    RALEIGH, NC 276097443

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $216.

Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.

Last reported payment date: 2023-03-23 • Largest payer in this snapshot: Medtronic, Inc. ($183).

Total Amount

$216

General + Research + Ownership

Payments

3

Total payment records

General Amount

$216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-23

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: 2023-03-14

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
I20230314000764IPhysician AssistantNCTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes372235$0
51798Ultrasound measurement of bladder capacity after voiding184181$0
99205New patient office or other outpatient visit, 60-74 minutes172172$0
A4562Pessary, non rubber, any type10169$0
51701Insertion of temporary bladder tube6357$0
View full utilization report →

Insurance plans in this area (ZIP 55005)

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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: 8325412737View full group profile
NameSpecialtyState
N E U R O L O G YAL
Diagnostic RadiologyFL
Certified Registered Nurse Anesthetist (Crna)NC
Hematology, PathologyNC
Infectious DiseaseNC
O B S T E T R I C S/ G Y N E C O L O G YNC
Physician AssistantTX
Rheumatology, Internal MedicineNC
Pediatric MedicineNC
O P H T H A L M O L O G YNC

Reviews

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Frequently asked questions

How is HAYLIE RAY MCCLUNG (PA-C) identified in CMS data?
CMS-hosted NPPES data lists HAYLIE RAY MCCLUNG (PA-C) with NPI 1093344186.
Can I rely on HAYLIE RAY MCCLUNG (PA-C) being an active provider?
As of the registry snapshot, HAYLIE RAY MCCLUNG (PA-C) is marked active.
What is HAYLIE RAY MCCLUNG (PA-C)'s specialty?
The listing groups HAYLIE RAY MCCLUNG (PA-C) with Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for HAYLIE RAY MCCLUNG (PA-C)?
HAYLIE RAY MCCLUNG (PA-C)'s geographic hint is East Bethel, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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