DR. BRUCE CLARK MCCLELLAN (M.D.) – Family Medicine Physician, NPI 1386731883
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,050 FAMILY PRACTICE in WI
Provider Addresses for DR. BRUCE CLARK MCCLELLAN (M.D.)
11051 N Sherman Rd
Edgerton, WI 535349002
Phone: (608) 884-3354
Fax: (608) 884-5022
Type: Location
PO BOX 787
MORGAN, UT 840500787
Phone: (801) 821-6541
Type: Mailing
1717 W COWLES ST
FAIRBANKS, AK 997015926
Phone: (907) 451-6682
Type: Location
Morgan Post Office, East 200 North, Morgan, Morgan County, Utah, 84050, United States
MORGAN, UT 840501007
Phone: (801) 829-3426
Fax: (801) 829-3135
Type: Mailing
State Street, Fort Morgan, Morgan County, Colorado, 80705, United States
MORGAN, UT 840509919
Phone: (801) 829-3426
Fax: (801) 829-3135
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: 2024-01-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031124000392 | I | Family Practice | WI | TBD |
| I20201028000407 | I | Family Practice | TX | TBD |
| I20240104004724 | I | Family Practice | HI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 27 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 15 | 11 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 14 | 13 | $0 |
Insurance plans in this area (ZIP 53534)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | WA | |
| - | WI | |
| O P T O M E T R Y | WI | |
| N E U R O S U R G E R Y | NE | |
| - | WI | |
| Physician Assistant | WI | |
| Family Practice | WI | |
| Cardiovascular Disease (Cardiology) | TX | |
| - | WI | |
| Family Practice | WI |
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