NPPES file of Aug 9, 2026

Edward J. McClain, MD

Specialist · Pittsburgh, PA

Edward J. McClain, MD is a specialist with a practice address in Pittsburgh, Pennsylvania, and NPI 1518932243, issued on Feb 17, 2006. Check the license (Pennsylvania MD040907E, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1518932243
Name
Edward J. McClain
Credential
MD
Primary taxonomy
Specialist 174400000X
License number
MD040907E PA
Self-reported in NPPES; status is on the state search
Practice location
200 Delafield RD, Pittsburgh, PA 15215
Phone
(412) 782-3990
Enumerated
Feb 17, 2006
Record last updated
Jul 13, 2026
Medicare enrollment
Enrolled (PECOS I20100524000341); accepts Medicare assignment
Medical or professional school
West Virginia University School Of Medicine, 1986
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 200 Delafield RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jeffrey BaumSpecialist1750353066
  2. Mabry BeebePhysician Assistant1356636732
  3. Andrew BellMedical Physician Assistant1962937912
  4. Monica BenavidesCardiovascular Disease Physician1043476674
  5. Alicia Berardinelli, PA-CPhysician Assistant1134219306
  6. James Bradley, MDOrthopaedic Surgery Physician1487626149

Verify Edward J. McClain in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
    Search for license MD040907E
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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18% fewer Medicare Part D claims than the average specialist in 2024

1,130 Medicare Part D claims for 511 beneficiaries, against an average of 1,380 among the 8,233 providers of this specialty who prescribed in Part D. 65 claims were for opioids.

  1. Edward McClain1,130
  2. Specialty average1,380

Most prescribed

  1. Meloxicam363 claims
  2. Mupirocin245 claims
  3. Amoxicillin123 claims
  4. Gabapentin65 claims
  5. Oxycodone Hcl49 claims
  6. Methylprednisolone32 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 78.5 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score74.6
  2. Costout of 100 · 30%53.8
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $260.50

3 payments; by number, the most common kind was food and beverage; the largest payer was Zimmer Biomet Holdings, Inc. The 5,844 providers of this specialty with any payment received $4,760.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Edward McClain$260.50
  2. Specialty average$4,760.79

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 4 group practices

  1. Keystone Rehabilitation Systems IncSeven Fields, PA
  2. Mrs Physical TherapyErie, PA
  3. Phoenix Rehabilitation And Health Services IncCranberry Twp, PA
  4. Upmc Community Medicine IncPittsburgh, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Edward J. McClain among 2,031 specialist records in Pennsylvania

Edward J. McClain, MD is one of 2,031 specialist records with a practice address in Pennsylvania. 40% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.

  • NPI issued2006 · 9% of these records are older, 34% newer
  • In a Medicare fileYes · 40% of these records are
  • In the CMS Doctors and Clinicians fileYes · 27% of these records are
  • Graduated1986 · median 1989 among the 547 with a school on file
  • Record last updated2026 · 69% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

767 specialist records list a practice address in Pittsburgh

They are 767 of the 28,866 NPPES records with a practice address in Pittsburgh, and 2,031 specialist records in Pennsylvania.

The 8 specialist records with the nearest ZIP codes

  1. Evan BakerPittsburgh, PA 152151720050602
  2. Jeffrey BaumPittsburgh, PA 152151750353066
  3. Mark BiedrzyckiPittsburgh, PA 152151194797233
  4. Lawrence Bucklew, MWPittsburgh, PA 152151265404297
  5. Daniel ChantzPittsburgh, PA 152151902878879
  6. Richard CoylePittsburgh, PA 152151699748913
  7. Frank Cymerman, MDAspinwall, PA 152151073586350
  8. Edward Donnelly, MDAspinwall, PA 152151821061342

Common questions

What is Edward J. McClain, MD's NPI number?

Edward J. McClain, MD's National Provider Identifier (NPI) is 1518932243, issued on Feb 17, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Edward J. McClain, MD located?

The NPPES record lists a practice address at 200 Delafield RD, Pittsburgh, PA, 15215. Phone: (412) 782-3990. Providers update this record themselves, so call before visiting.

How can I verify Edward J. McClain, MD's license?

NPPES lists Pennsylvania license number MD040907E, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.

How much does Edward J. McClain, MD prescribe under Medicare Part D?

In 2024, Edward J. McClain, MD had 1,130 Medicare Part D claims for 511 beneficiaries; the average among specialist prescribers was 1,380. Part D covers Medicare prescriptions only.

What is Edward J. McClain, MD's MIPS final score?

The 2023 MIPS final score is 78.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.