CHARLES MALCOLM CLAIR JR. MD NPI 1003012204

Family Medicine in Pocatello, ID

NPI 1003012204 Individual Male Years of Experience 15 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About CHARLES CLAIR

Charles Clair is a primary care provider established in Pocatello, Idaho and his medical specialization is family medicine with more than 15 years of experience. He graduated from University Of Nevada School Of Medicine in 2007. The NPI number of Charles Clair is 1003012204 and was assigned on June 2007. The practitioner's primary taxonomy code is 207Q00000X with license number M-10525 (ID). The provider is registered as an individual and his NPI record was last updated 2 years ago.

A primary care provider (PCP) like Charles Malcolm Clair Jr. Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Charles Clair is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Charles Clair is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Minidoka Memorial Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: care plan. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1003012204

Provider Name CHARLES MALCOLM CLAIR JR. MD
Provider Location Address1071 RENEE AVE POCATELLO, ID 83201
Provider Mailing Address1322 STONERIDGE DR POCATELLO, ID 83201
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year2007
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date06-25-2007
Last Update Date05-06-2020


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.M-10525
License StateID
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

CHARLES MALCOLM CLAIR JR. MD
1071 RENEE AVE
POCATELLO, ID
ZIP 83201
Phone: (208) 252-5602
Fax: (208) 269-7094

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Mailing Address

CHARLES MALCOLM CLAIR JR. MD
1322 STONERIDGE DR
POCATELLO, ID
ZIP 83201
Phone: (208) 436-0481



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID6709910128
PECOS Enrollment IDI20180102002546
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Care Plan 84% 75
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Charles Clair is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MINIDOKA MEMORIAL HOSPITAL1224 8TH STREET
RUPERT, ID 83350
(208) 436-0481Critical Access Hospitals131319

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208M00000XAllopathic & Osteopathic PhysiciansHospitalistM-10525IDNo

Taxonomy Description: hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
11479847OTHER (01)

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205119401 ANA DESIRAE RIDENER MOT
Individual
Occupational Therapist1071 RENEE AVE
POCATELLO, ID 83201
(208) 233-1441
1063957967 AMANDA TAYLOR
Individual
Speech-Language Pathologist1071 RENEE AVE
POCATELLO, ID 83201
(208) 233-1411
1821534439 CAMIEL CLARK OTR/L
Individual
Occupational Therapist1071 RENEE AVE
POCATELLO, ID 83201
(208) 233-1411
1215435631VALLEY VIEW HEALTH SERVICES, INC.
Organization
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))1071 RENEE AVE
POCATELLO, ID 83201
(208) 233-1411
1346353307NORTON & NORTON LLC
Organization
Skilled Nursing Facility1071 RENEE AVE
POCATELLO, ID 83201
(208) 233-1411
1821360868VALLEY VIEW HEALTH SERVICES, INC.
Organization
Skilled Nursing Facility1071 RENEE AVE
POCATELLO, ID 83201
(208) 233-1411

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.