2026 NPPES data Pediatric Emergency Medicine (Pediatrics) Physician NPI 1679839294 M.D.
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TIMOTHY MCCLUNG, M.D.

Pediatric Emergency Medicine (Pediatrics) Physician in COLUMBUS, Ohio. 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
90
Medicare Part D claims · 37 beneficiaries · Pediatric Emergency Medicine (Pediatrics) Physician avg: 162
MIPS score
95.311/100
▲ 12 pts above national avg 83.1 · [object Object]

What the federal data shows

TIMOTHY MCCLUNG, M.D. reported a CMS MIPS final score of 95.311/100 — above the 83.1 national average — and filed 90 Medicare Part D claims in 2023.

95.311/100
MIPS score · +12 vs avg
90
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

TIMOTHY MCCLUNG, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

95 Top 21% higher than 79% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

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

What does the federal data show about TIMOTHY MCCLUNG, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/09/2012

NPI 1679839294

Primary specialty

Pediatric Emergency Medicine (Pediatrics) Physician

Niche

1,803 US NPIs in this specialty

Medicare Part D claims

90 44% vs specialty avg

2023 prescription claims

Specialty avg: 162

MIPS final score

95.311/100 12.211000000000013% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Ohio

How Pediatric Emergency Medicine (Pediatrics) Physician compares to other specialties among Ohio providers

Ohio providers

Pediatric Emergency Medicine (Pediatrics) Physician share within Ohio

1. Pediatric Emergency Medicine (Pediatrics) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Emergency Medicine (Pediatrics) Physician share within Ohio

Medicare quality performance — MIPS

TIMOTHY MCCLUNG, M.D.'s 2023 MIPS final score plotted against the Pediatric Emergency Medicine (Pediatrics) Physician national average

High performer (top quartile)
MIPS Final Score
95.311/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Emergency Medicine (Pediatrics) Physician) — 95.311/100 vs national avg 83.1

0%100%National avg83%95.3%
MIPS final score (Pediatric Emergency Medicine (Pediatrics) Physician) — 95.311/100 vs national avg 83.1

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).

TIMOTHY MCCLUNG, M.D. appears in the CMS NPPES registry as a Pediatric Emergency Medicine (Pediatrics) Physician provider holding M.D. credentials at 410 W 10TH AVE, COLUMBUS, OH, 43210, with a listed phone of (614) 293-7499. NPI 1679839294 was issued on 04/09/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCCLUNG 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 90 prescription claims written by this provider, covering 37 Medicare beneficiaries and totaling roughly $6K in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.311/100 for the 2023 performance year (Quality 76.5856), compared with the national average of 83.1.

Pediatric Emergency Medicine (Pediatrics) Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 47 states and an average of 162 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

410 W 10TH AVE
COLUMBUS, OH 43210

Provider Details

NPI 1679839294
Specialty Pediatric Emergency Medicine (Pediatrics) Physician
Credentials M.D.
Gender Male
NPI Issued 04/09/2012

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

95.311
Final Score
Avg: 83.1
76.5856
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where TIMOTHY MCCLUNG, 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.

OSU INTERNAL MEDICINE LLC
COLUMBUS, OH

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

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to TIMOTHY MCCLUNG, M.D.. To verify TIMOTHY MCCLUNG, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

90
Total Claims
$6K
Total Drug Cost
37
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
113
Total Day Supply
2,938
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
67.3 years
Avg HCC Risk Score
4.25
Gender Split
49% female / 51% male
Age Distribution
<65: 12, 65-74: 15, 75-84: N/A, 85+: N/A

Pediatric Emergency Medicine (Pediatrics) Physician Overview

How TIMOTHY MCCLUNG, M.D. fits within the Pediatric Emergency Medicine (Pediatrics) Physician landscape nationally.

1,803
Pediatric Emergency Medicine (Pediatrics) Physician Providers in US
47
States with Pediatric Emergency Medicine (Pediatrics) Physician
162
Avg Claims per Provider

TIMOTHY MCCLUNG, M.D.'s 90 claims are below the specialty average of 162.

Nearby Pediatric Emergency Medicine (Pediatrics) Physician Providers in Ohio

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

Compare Pediatric Emergency Medicine (Pediatrics) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TIMOTHY MCCLUNG, M.D.'s specialty?
TIMOTHY MCCLUNG, M.D. specializes in Pediatric Emergency Medicine (Pediatrics) Physician and practices in COLUMBUS, Ohio. Credentials: M.D..
How much does TIMOTHY MCCLUNG, M.D. prescribe under Medicare Part D?
In 2023, TIMOTHY MCCLUNG, M.D. wrote 90 Medicare Part D claims totaling $6K in drug costs for 37 beneficiaries.
What is TIMOTHY MCCLUNG, M.D.'s Medicare quality score?
TIMOTHY MCCLUNG, M.D. has a CMS MIPS Final Score of 95.311/100 (Quality: 76.5856). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TIMOTHY MCCLUNG, M.D. located?
TIMOTHY MCCLUNG, M.D. is located at 410 W 10TH AVE, COLUMBUS, OH, 43210. Phone: (614) 293-7499.
What is TIMOTHY MCCLUNG, M.D.'s NPI number?
TIMOTHY MCCLUNG, M.D.'s National Provider Identifier (NPI) is 1679839294, issued on 04/09/2012.
How many Pediatric Emergency Medicine (Pediatrics) Physician providers are there in the US?
There are 1,803 Pediatric Emergency Medicine (Pediatrics) Physician providers across 47 states in the US. The average Pediatric Emergency Medicine (Pediatrics) Physician provider writes 162 Medicare Part D claims per year.
Does TIMOTHY MCCLUNG, M.D. accept Medicare?
TIMOTHY MCCLUNG, M.D. appears in CMS Medicare data with 90 Part D claims and 37 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TIMOTHY MCCLUNG, M.D.'s credentials?
TIMOTHY MCCLUNG, M.D.'s NPI is 1679839294 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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