Jonathan James McClain

  • Cumberland, RI
  • Family medicine physician
NPI1417214768PAC ID1951541523
Medicare services, 2024
1,720
Medicare patients, 2024
272
Part D claims, 2024
58
MIPS score, 2024
100
Industry payments
$91
Practice address
100 Chambers Street, Cumberland, RI 02864
Practice phone
Call (401) 724-7500
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Grandview Center

Skilled Nursing Facility · Cumberland, Rhode Island

See all 5 affiliations

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Jonathan James McClain is a family medicine physician in Cumberland, Rhode Island

Jonathan McClain practices at Grandview Center in Cumberland, Rhode Island.

Jonathan McClain's NPI, 1417214768, was assigned on April 11, 2012. Jonathan McClain graduated from Penn State College of Medicine in 2012. Jonathan McClain holds Rhode Island license 56427.

NPI and contact details
Medicare PAC ID
1951541523
NPI enumeration date
April 11, 2012
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(401) 724-7500
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
40
Medical school graduation
2012

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Jonathan James McClain practices at Grandview Center in Cumberland, Rhode Island

Jonathan McClain's primary practice is Grandview Center, at 100 Chambers Street, Cumberland, RI 02864 in Providence County. The practice phone is (401) 724-7500.

  • Grandview Center
    100 Chambers Street, Cumberland, RI 02864 · Providence CountyPhone(401) 724-7500

Source: Dmand AI Affiliation Data

Jonathan James McClain is affiliated with 3 sites of care and 2 medical groups

Jonathan McClain's primary practice is Grandview Center in Cumberland, Rhode Island. The medical group on file is Vohra Wound Physicians. Dmand AI also links Jonathan McClain to 2 more group practices and clinics and 1 medical group, each named with a free account.

See all 5 affiliations for Jonathan McClain

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Jonathan James McClain's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Jonathan McClain practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Grandview CenterAvailable with a free account
+2 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Jonathan James McClain is one of 383 family medicine physicians in Rhode Island

Family medicine is Jonathan McClain's primary specialty in the NPI Registry, under taxonomy code 207Q00000X. Dmand AI has Jonathan McClain's licenses on file in 3 states: Rhode Island, Connecticut and Massachusetts.

Specialties and state licenses

  • Family medicine, Rhode IslandPrimaryLicense 56427 · 2017 to 2026 · taxonomy 207Q00000X
  • Connecticut license2017
  • Massachusetts license2012 to 2016

Clinical focus

Dmand AI lists chronic embolism thrombosis, chronic skin ulcer, mobility impairment, peripheral vascular disease and varicose veins among the conditions Jonathan McClain treats.

Family medicine physicians near Jonathan McClain

Counts of family medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.

383family medicine physicians in Rhode Island
3family medicine physicians in Cumberland

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Jonathan James McClain billed Medicare for 1,720 services in 2024

CMS data shows 1,720 Medicare services from Jonathan McClain across 11 procedure codes in 2024, for 272 Medicare patients. Medicare paid $155,299 for them.

Medicare services, 20241,720
Medicare patients272
Paid by Medicare$155,299
Procedure codes11

Jonathan McClain's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1,4552024: 1,18519%
Surgery
2023: 7852024: 42546%
Tests and treatments
2023: 452024: 110144%

Where Jonathan McClain's Medicare services took place, 2024

  • In an office1,24272%
  • In a facility47828%

Jonathan McClain compared with the Rhode Island median for family medicine physicians, 2024

  • Jonathan McClain
  • Rhode Island median
Medicare services
1,720vs 15810.9 times
Medicare patients
272vs 813.4 times
Part D claims
40vs 79095% below

Medians across 369 family medicine physicians in Rhode Island with Dmand AI profiles that report each measure.

Jonathan McClain's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Jonathan McClain

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Jonathan James McClain treated 272 Medicare patients in 2024, average age 80

CMS counts 272 Medicare patients who saw Jonathan McClain in 2024. The largest group is 85 and over, with 102 patients. 75% of them have high blood pressure, and 72% have high cholesterol. 53% are also on Medicaid. Their average risk score is 3.34, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Jonathan McClain's median patient age at 81, with 58% women.

Medicare patients, 2024272
Average age80
Average risk score3.34
Also on Medicaid53%

Jonathan McClain's Medicare patients by age, 2024

Jonathan McClain's Medicare patients by sex, 2024

  • Women14654%
  • Men12646%

Chronic conditions among Jonathan McClain's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol72%
  3. Mood disorders66%
  4. Anxiety63%
  5. Depression58%
  6. Arthritis57%
  7. Heart failure55%
  8. Diabetes53%

Share of Medicare patients with each condition. A patient can have several.

Jonathan McClain's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 81

Patient panel by sex, all payers

  • Women58%
  • Men41%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Jonathan James McClain wrote 58 Medicare Part D claims in 2024

In 2024, Jonathan McClain wrote 58 Medicare Part D claims for 34 patients. 28% of them were for generic drugs. CMS names the drug for 40 of them, across 2 drugs with 11 or more claims each, at $5,959 in total drug cost. In 2023, CMS named 46 claims across 2 drugs.

Part D claims, 202458
Drugs named by CMS2
Total drug cost$5,959
Part D patients34

Jonathan McClain's Part D claims by kind of drug, 2024

  • Generic16 claims28%
  • Brand-name42 claims72%

Jonathan McClain's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 462024: 4013%

Drugs named by CMS: 2 in 2024, 2 in 2023.

See all prescribing by Jonathan McClain

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Jonathan James McClain scored 100 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Jonathan McClain for performance year 2024, reported as part of a group. Jonathan McClain accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Jonathan McClain as offering telehealth. CMS counts 620 procedures of removal of tissue by Jonathan McClain, more than 98% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Jonathan McClain's MIPS scores, performance year 2024

  • 100of 100Final score
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Jonathan McClain ranks in Medicare procedure volume

Removal of tissue
98th percentile620 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Jonathan James McClain received $91 in industry payments in 2018

CMS Open Payments shows 1 general payment to Jonathan McClain from 1 drug or device company in 2018. Food and beverage make up the largest share, 100% of the total. Smith & Nephew, Inc. paid the most, $91.

Companies that paid Jonathan McClain the most, 2018 to 2018

Share is of all general payments to this clinician.

See all payments to Jonathan McClain

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Jonathan James McClain graduated from Penn State College of Medicine

Jonathan McClain graduated from Penn State College of Medicine in 2012.

  1. Medical schoolPenn State College of Medicine

Source: Dmand AI Professional Profile Data

Jonathan James McClain accepts plans from 11 insurance carriers

Jonathan McClain is in network with 11 carriers, including Excellus BlueCross BlueShield, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 7. Check the plan with the practice before a visit.

  • Excellus BlueCross BlueShield
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Aetna
  • Aspirus Health Plan
  • Elevance
  • HCSC
  • Regence Health Plans
  • +3 more carriersWith a free account

Plan types Jonathan McClain accepts, by number of carriers

  1. PPO7
  2. HMO6
  3. Medicare6
  4. POS4
  5. EPO2
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Jonathan James McClain's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Jonathan James McClain

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Jonathan James McClain's NPI number?

Jonathan James McClain's NPI number is 1417214768. It was assigned on April 11, 2012, and it is active in the NPI Registry.

What does Jonathan James McClain specialize in?

Jonathan James McClain is a family medicine physician in Cumberland, Rhode Island. The primary specialty in the NPI Registry is Family Medicine Physician (taxonomy code 207Q00000X).

Where does Jonathan James McClain practice?

Jonathan McClain practices at 100 Chambers Street, Cumberland, RI 02864. Jonathan McClain's primary practice is Grandview Center in Cumberland, Rhode Island. Dmand AI also links Jonathan McClain to 2 group practices and clinics and 1 medical group.

What is Jonathan James McClain's office phone number?

The practice phone on file for Jonathan McClain is (401) 724-7500.

What is Jonathan James McClain's medical license number?

Jonathan McClain holds Rhode Island license 56427, one of the licenses on file in 3 states.

Which states has Jonathan James McClain been licensed in?

Dmand AI has state licenses on file for Jonathan McClain in Rhode Island (2017 to 2026), Connecticut (2017) and Massachusetts (2012 to 2016).

What medical group is Jonathan James McClain part of?

Jonathan McClain is linked to Vohra Wound Physicians. Dmand AI links Jonathan McClain to 1 more medical group.

Does Jonathan James McClain accept Medicare?

Yes. CMS data shows Jonathan McClain billed Medicare for 1,720 services in 2024, and Jonathan McClain accepts Medicare assignment.

Does Jonathan James McClain offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Jonathan McClain as offering telehealth services.

What is Jonathan James McClain's MIPS score?

Jonathan McClain's MIPS final score for performance year 2024 is 100 out of 100, reported as part of a group.

Show 7 more questionsShow fewer questions

How many Medicare patients does Jonathan James McClain see?

CMS counts 272 Medicare patients who saw Jonathan McClain in 2024, with an average age of 80.

What services does Jonathan James McClain bill to Medicare?

In 2024, Jonathan McClain's most billed Medicare services were nursing facility care (99308), nursing facility care (99309) and surgery: skin and soft tissue (11042).

Where did Jonathan James McClain go to medical school?

Jonathan McClain graduated from Penn State College of Medicine in 2012.

What drugs does Jonathan James McClain prescribe most?

In 2024 Medicare Part D data, Jonathan McClain's most prescribed drugs by claims were Ssd and Santyl.

Has Jonathan James McClain received payments from drug or device companies?

CMS Open Payments shows $91 in general payments to Jonathan McClain from 1 company from 2018 to 2018. The largest total came from Smith & Nephew, Inc.

How long has Jonathan James McClain been practicing?

Jonathan McClain graduated from medical school in 2012, 14 years ago.

What insurance does Jonathan James McClain accept?

Jonathan McClain is in network with 11 carriers, including Excellus BlueCross BlueShield, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 7. Check the plan with the practice before a visit.

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