DR. MARILYN MEADE MCCLUSKEY M.D. NPI 1104907492

NPI Information

  • NPI: 1104907492
  • Provider Name: DR. MARILYN MEADE MCCLUSKEY, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11111 RESEARCH BLVD
    STE 170
    AUSTIN, TX
    ZIP 78759
  • Phone: (512) 338-5222

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NPI Details

DR. Marilyn Meade Mccluskey, M.D. is a specialist in Austin, TX with 41 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Marilyn Meade Mccluskey, M.D. NPI is 1104907492. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MISSISSIPPI MEDICAL COLLEGE
Graduation Year:1985

The provider's business location address is:

11111 RESEARCH BLVD
STE 170
AUSTIN, TX
ZIP 78759-264
Phone: (512) 338-5222
Fax: (512) 338-5229

The NPI 1104907492 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Imaging of optic nerve (HCPCS:92133)
  • Imaging of retina (HCPCS:92134)
  • New patient complete exam of visual system (HCPCS:92004)
  • Ultrasound scan to determine eye length and lens power (HCPCS:76519)
  • Ct scan of cornea (HCPCS:92025)

The enumeration date for this NPI number is 10/17/2006 and was last updated on 1/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistH5927TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E04479MEDICARE UPINTEXAS
2P08078214MEDICAIDTEXAS
380Y821MEDICARE ID-TYPE UNSPECIFIEDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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