Theresa McClain, D.O.
NPI 1235573916ActiveIndividual· Obstetrics & Gynecology· Allentown, PA
Obstetrics & Gynecology (D.O.) with St Joseph Medical Group, practicing in Allentown, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $14,928 for 105 claims, against $3,118 paid for services in 2024. Exeltis, USA Inc. reported $22.29 in payments in 2025, mostly food and beverage. Lists Penn State Health St. Joseph as a hospital affiliation.
Overview
| NPI | 1235573916 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Apr 24, 2013 |
| Last updated in NPPES | Jan 13, 2026 |
| Certified by provider | Jan 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | OS018924 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Obstetrics/Gynecology (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 56 across 10 procedure codes |
| Paid by Medicare | $3,118 |
Part D prescriptions in 2024
| Prescriptions (claims) | 105 · 222 30-day fills |
|---|---|
| Patients | 35 |
| Total drug cost | $14,928 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Obstetrics/Gynecology |
Medical group
- St Joseph Medical GroupReading, PA · 189 clinicians
Hospital affiliation
- Penn State Health St. JosephReading, PA
Industry payments (Open Payments)
- 2025$22.29 · 1 payment from 1 company
- 2024$3,106 · 6 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exeltis, USA Inc. | $22.29 | 1 |
What the 2025 payments were for
- Food and Beverage$22.29 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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