2026 NPPES data Hospitalist Physician NPI 1194968297 M.D.
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JOSEPH MCCLAIN, M.D.

Hospitalist Physician in GAITHERSBURG, Maryland. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
228
Medicare Part D claims · 91 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: JOSEPH MCCLAIN, M.D. is a Hospitalist Physician ([object Object]) practicing in GAITHERSBURG, Maryland with a Medicare Part D prescribing footprint of 228 claims across 91 beneficiaries — 13% brand-name prescribing .

What stands out: JOSEPH MCCLAIN, M.D. filed 228 Medicare Part D claims in 2023 across GAITHERSBURG, Maryland. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOSEPH MCCLAIN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOSEPH MCCLAIN, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 04/20/2009

NPI 1194968297

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

228 74% vs specialty avg

2023 prescription claims

Specialty avg: 888

Specialty distribution in Maryland

How Hospitalist Physician compares to other specialties among Maryland providers

Maryland providers

Hospitalist Physician share within Maryland

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Maryland

Specialty board-certification context

Estimated specialty board-certified rate — Hospitalist Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Hospitalist Physician ABMS/AOA estimate

Est. board-certified rate (Hospitalist Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Hospitalist Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JOSEPH MCCLAIN, M.D. is a Hospitalist Physician provider practicing in GAITHERSBURG, Maryland, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1194968297. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOSEPH MCCLAIN, M.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D. credentials at 655 WATKINS MILL RD, GAITHERSBURG, MD, 20879, with a listed phone of (301) 848-8790. NPI 1194968297 was issued on 04/20/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCCLAIN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 228 prescription claims written by this provider, covering 91 Medicare beneficiaries and totaling roughly $10K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 8.8%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

655 WATKINS MILL RD
GAITHERSBURG, MD 20879

Provider Details

NPI 1194968297
Specialty Hospitalist Physician
Credentials M.D.
Gender Male
NPI Issued 04/20/2009

Hospital and facility affiliations

Facilities where JOSEPH MCCLAIN, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
LARGO, MD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

JOSEPH MCCLAIN, M.D. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 228 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

228
Total Claims
$10K
Total Drug Cost
91
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
268
Total Day Supply
5,928
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$7K
Generic Drug Cost
$3K
Opioid Claims
20 (8.8% rate)
Antibiotic Claims
37

Patient Demographics

Average Patient Age
76.4 years
Avg HCC Risk Score
2.23
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Metoprolol Tartrate
21
Furosemide
16
Atorvastatin Calcium
14
Cefuroxime
Cefuroxime Axetil
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Hospitalist Physician Overview

How JOSEPH MCCLAIN, M.D. fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

JOSEPH MCCLAIN, M.D.'s 228 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Maryland

Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as MCCLAIN.

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSEPH MCCLAIN, M.D.'s specialty?
JOSEPH MCCLAIN, M.D. specializes in Hospitalist Physician and practices in GAITHERSBURG, Maryland. Credentials: M.D..
How much does JOSEPH MCCLAIN, M.D. prescribe under Medicare Part D?
In 2023, JOSEPH MCCLAIN, M.D. wrote 228 Medicare Part D claims totaling $10K in drug costs for 91 beneficiaries.
Where is JOSEPH MCCLAIN, M.D. located?
JOSEPH MCCLAIN, M.D. is located at 655 WATKINS MILL RD, GAITHERSBURG, MD, 20879. Phone: (301) 848-8790.
What is JOSEPH MCCLAIN, M.D.'s NPI number?
JOSEPH MCCLAIN, M.D.'s National Provider Identifier (NPI) is 1194968297, issued on 04/20/2009.
Does JOSEPH MCCLAIN, M.D. prescribe more brand-name or generic drugs?
JOSEPH MCCLAIN, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $7K in brand drug costs.
Does JOSEPH MCCLAIN, M.D. prescribe opioids?
Yes, JOSEPH MCCLAIN, M.D. had 20 opioid claims in 2023 with an opioid prescribing rate of 8.8%.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does JOSEPH MCCLAIN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH MCCLAIN, M.D.'s most frequently prescribed drugs include Metoprolol Tartrate, Furosemide, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH MCCLAIN, M.D. accept Medicare?
JOSEPH MCCLAIN, M.D. appears in CMS Medicare data with 228 Part D claims and 91 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH MCCLAIN, M.D.'s credentials?
JOSEPH MCCLAIN, M.D.'s NPI is 1194968297 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology