Doctor profile · Federal record
Dr. Theresa McClain, D.O.
Obstetrics & Gynecology Physician (CMS: Obstetrics/Gynecology) · Allentown, PA
- NPI 1235573916
- Accepts Medicare
- MIPS 71.5 / 100 · 2023
- 13 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1611 Pond RD Ste 300
Allentown, PA 18104
(610) 398-7700
fax (610) 398-3917 - Additional location
-
1330 Penn Ave
Wyomissing, PA 19610
(610) 373-3738
fax (610) 373-4938 - Additional location
-
500 University Dr
Hershey, PA 170332360
(800) 243-1455 - Mailing address
-
2494 Bernville RD Ste 100
Reading, PA 196059466
Credentials & registration
- NPI registered
- April 2013 — 13 yrs on file
- Profile last updated
- January 13, 2026
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 207V00000X — NUCC code
- State license (1)
- Pennsylvania #OS018924
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235573916. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
43
Distinct HCPCS
2
Medicare allowed
$2,845
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 26 | 21 | $85 | |
G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination | 17 | 17 | $37 |
In context: peer comparison
Among 21 peers in Allentown Obstetrics & Gynecology Physician, average services per provider: 57. This provider delivers 0.8× the peer median.Open Payments
Industry payments received
All-time total
$3,106
Transactions
6
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Applied Medical Resources Corporation | 1 | $3,000.00 | |
| Pfizer INC. | 2 | $40.94 | |
| Merck Sharp & Dohme LLC | 1 | $27.83 | |
| Exeltis, USA INC. | 1 | $19.77 | |
| Sumitomo Pharma America, INC. | 1 | $17.67 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
15
Patients
0
Total drug cost
$1,291
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Estradiol | Generic | 15 | 0 | $1,291 |
Hospital affiliations
Frequently asked questions
What is Dr. Theresa McClain's medical specialty?
Dr. Theresa McClain practices Obstetrics & Gynecology Physician in Allentown, PA.
Where does Dr. Theresa McClain practice?
Dr. Theresa McClain practices at 1611 Pond RD Ste 300, Allentown, PA 18104. Office phone: 6103987700.
What is Dr. Theresa McClain's NPI?
Dr. Theresa McClain's National Provider Identifier (NPI) is 1235573916, issued by NPPES.
Does Dr. Theresa McClain accept Medicare assignment?
Yes. Dr. Theresa McClain accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theresa McClain commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS G0101). Source: CMS Medicare Physician & Other Practitioners file.