GAIL K MCCLAVE (MD) – Family Medicine Physician, NPI 1902964125

GAIL K MCCLAVE (MD) is a healthcare provider. based in Bandon, Oregon. specializing in INTERNAL MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD23131 (OR). The NPI Number for GAIL K MCCLAVE (MD) is 1902964125

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
GAIL K MCCLAVE (MD)
NPI
1902964125
Phone
(541) 347-2111
Address
PO BOX 393
Enumeration Date
4 December 2006
Last Update Date
18 September 2014

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
5045295558
Graduation Year
1994 (32 years ago)
PAC ID
8123077393
Group Practice PAC ID
8527163211
Professional Enrollment ID
I20220830000577
Address ID
LA701305018NE2014XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,474 INTERNAL MEDICINE in OR

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Provider Addresses for GAIL K MCCLAVE (MD)

  • Bandon, The Municipal District of Bandon-Kinsale, County Cork, Munster, Ireland

    BANDON, OR 974110393

    Phone: (541) 347-2111

    Fax: (541) 347-1212

    Type: Mailing

  • 475, Elmira Avenue Southeast, Bandon, Coos County, Oregon, 97411, United States

    SUITE103

    BANDON, OR 974117405

    Phone: (541) 347-2111

    Fax: (541) 347-1212

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-08-30

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
I20050113001097IFamily PracticeORTBD
I20220830000577IInternal MedicineLATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97411)

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Provider's Procedures

GAIL K MCCLAVE (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOR85610Blood test, clotting time29340

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: 8527163211View full group profile
NameSpecialtyState
R H E U M A T O L O G YNY
Nurse PractitionerLA
Internal MedicineLA
Nurse PractitionerLA
Clinical Social WorkerLA
-MA
Physician AssistantLA
Nurse PractitionerLA
Nurse PractitionerLA
Internal MedicineLA

Reviews

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Frequently asked questions

How is GAIL K MCCLAVE (MD) identified in CMS data?
CMS-hosted NPPES data lists GAIL K MCCLAVE (MD) with NPI 1902964125.
Is GAIL K MCCLAVE (MD) listed as active for patients and plans?
The listing shows GAIL K MCCLAVE (MD) as active in the NPI system.
What is GAIL K MCCLAVE (MD)'s specialty?
The listing groups GAIL K MCCLAVE (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is GAIL K MCCLAVE (MD) based?
GAIL K MCCLAVE (MD) is tied to Bandon, Oregon in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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