MR. BRUCE JON MCCLELLAN (PA-C) – Vascular-Interventional Technology Radiologic Technologist, NPI 1659484640

MR. BRUCE JON MCCLELLAN (PA-C) is a healthcare provider. based in Burlington, Vermont. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 051-0001315 (VT). The NPI Number for MR. BRUCE JON MCCLELLAN (PA-C) is 1659484640

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRUCE JON MCCLELLAN (PA-C)
NPI
1659484640
Phone
(802) 847-8873
Address
111 COLCHESTER AVE
Enumeration Date
16 August 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028470000
Graduation Year
2004 (22 years ago)
PAC ID
6305875584
Group Practice PAC ID
3779491071
Professional Enrollment ID
I20050808001020
Address ID
VT054011473BU111XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:19State licenses:2Digital endpointsOther names

385 PHYSICIAN ASSISTANT in VT

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Provider Addresses for MR. BRUCE JON MCCLELLAN (PA-C)

  • University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States

    PATRICK 1 - RADIOLOGY

    BURLINGTON, VT 054011473

    Phone: (802) 847-8873

    Mailing address matches the actual address.

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: 2005-08-08

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
I20050808001020IPhysician AssistantVTTBD

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
76937Ultrasonic guidance for blood vessel access118113$0
77001Fluoroscopic guidance for insertion or removal of central vein access device117113$0
36561Insertion of central venous tube with port (5 years or older)9390$0
49424Injection of contrast through abdominal cavity tube for x-ray study4029$0
76080Review by radiologist of abscess or sinus cavity study3928$0
View full utilization report →

Insurance plans in this area (ZIP 05401)

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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: 3779491071View full group profile

Reviews

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Frequently asked questions

Can I verify MR. BRUCE JON MCCLELLAN (PA-C) with an NPI only?
You can start verification with NPI 1659484640 for MR. BRUCE JON MCCLELLAN (PA-C), then check state licensing separately.
Does the file indicate MR. BRUCE JON MCCLELLAN (PA-C) is practicing under active NPI?
Directory data currently reports MR. BRUCE JON MCCLELLAN (PA-C) as active.
What healthcare role does MR. BRUCE JON MCCLELLAN (PA-C) hold?
Scheduling teams often label MR. BRUCE JON MCCLELLAN (PA-C) under Vascular-Interventional Technology Radiologic Technologist. Clinical services aligned with this taxonomy classification.
Where should I expect MR. BRUCE JON MCCLELLAN (PA-C) on a map?
Expect Burlington, Vermont as a primary anchor for MR. BRUCE JON MCCLELLAN (PA-C) unless the record lists multiple sites.
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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