NEVVI Medicare utilization intelligence

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MCCLURE, SCOTTM.D. NPI 1336167188 Clinician

Orthopedic Surgery · LOUISVILLE, KY

Specialty Orthopedic Surgery — from billed Medicare claims
Trained UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE — medical school, self-reported to CMS
In practice about 18 years since medical school (class of 2008, self-reported to CMS)
Location LOUISVILLE, KY · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 26 codes billed · 34,376 disclosed volume (CY2024 — most recent year in data)
Current groups
member of 3 groups; the volumes below are this clinician's personal volume and are not attributed to any single group
Hospital affiliations
  • Home health agency — CCN 187059
  • Home health agency — CCN 187090
  • Home health agency — CCN 187091
  • Home health agency — CCN 187152
  • Hospital — CCN 180040
  • Hospital — CCN 180130
  • Hospital — CCN 180138
registry affiliations from the CMS Doctors & Clinicians facility file — an administrative affiliation, not a statement about where care is delivered

Group affiliation since 2019

20192026
PT PROS, INC
2026
SN KENTUCKIANA REHAB, LLC
2024–2026
BAPTIST HEALTH MEDICAL GROUP INC
2019–2026
KENTUCKY ORTHOPEDIC REHABILITATION LLC
2024–2025
SN KENTUCKIANA REHAB, LLC
2022

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2020-12
Data year CY2024 CY2023 CY2022  CY2021  CY2020 

Provider overview · all codes · CY2024

The full analytics for this provider

Premium

The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed submitted charges across all codes were in CY2024. Included with Platform.

  • Charge, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Volume Beneficiary-episodes Avg charge Avg Medicare payment
J1010 Injection, methylprednisolone acetate, 1 mg
73030 X-ray of shoulder, minimum of 2 views
20610 Aspiration and/or injection of fluid from large joint
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
73562 X-ray of knee, 3 views
J1040 Injection, methylprednisolone acetate, 80 mg
23472 Prosthetic repair of shoulder joint, total shoulder
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
73110 X-ray of wrist, minimum of 3 views
73502 X-ray of hip, 2-3 views
27447 Replacement of knee joint, both sides of knee
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
73070 X-ray of elbow, 2 views
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
77077 X-ray of joints, multiple
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
20605 Aspiration and/or injection of fluid from medium joint
73560 X-ray of knee, 1-2 views
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope
29828 Release of tendon connecting biceps muscle and shoulder using an endoscope
73060 X-ray of upper arm, minimum of 2 views
23600 Closed treatment of broken top of upper arm bone

Showing the top 25 of 26 procedures this clinician billed. The full list is part of the premium platform. Notify me at launch →

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.