CLAYTON JOE CARSON
NPI 1003540501
Nurse Practitioner - Family in Piedmont, MO

Active since July 12, 2022PECOS EnrolledAccepts Medicare Assignment
92.57/100
CMS Quality Rating
420 PIEDMONT AVE, PIEDMONT, MO 63957(573) 223-4233 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clayton Joe Carson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLAYTON JOE CARSON (NPI 1003540501) is an individual family provider in Piedmont, Missouri, licensed in Missouri (2022026858) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Poplar Bluff Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1003540501
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCLAYTON JOE CARSON
Location Address420 PIEDMONT AVEPiedmont, MO 63957-1024
Mailing Address724 W Green Hill StPiedmont, MO 63957-1100
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 12, 2022
NPPES CertifiedJuly 12, 2022
NPI 1003540501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2022026858
420 PIEDMONT AVE, Piedmont, MO 63957

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Clayton Joe Carson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799167144
PECOS Enrollment IDI20220801002450
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
214 services110 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
41 services38 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
39 services32 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
22 services22 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
21 services13 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Poplar Bluff Regional Medical Center

Acute Care Hospitals · Poplar Bluff, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260119
Location3100 Oak Grove RoadPoplar Bluff, MO 63901 · Butler County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260183
Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63957 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.03
Promoting Interoperability88
Improvement Activities40

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
420 PIEDMONT AVE
PIEDMONT, MO 63957
Internal Medicine (Cardiovascular Disease)
420 PIEDMONT AVE
PIEDMONT, MO 63957
Clinic/Center (Rural Health)
420 PIEDMONT AVE
PIEDMONT, MO 63957
Nurse Practitioner (Family)
420 PIEDMONT AVE
PIEDMONT, MO 63957
Nurse Practitioner (Family)
420 PIEDMONT AVE
PIEDMONT, MO 63957
Pharmacist
420 PIEDMONT AVE
PIEDMONT, MO 63957
Pharmacy (Long Term Care Pharmacy)
420 PIEDMONT AVE
PIEDMONT, MO 63957
Pharmacy (Community/Retail Pharmacy)
420 PIEDMONT AVE
PIEDMONT, MO 63957

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clayton Carson's NPI number?

The NPI number for Clayton Carson is 1003540501. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Clayton Carson located?

Clayton Carson practices at 420 Piedmont Ave, Piedmont, MO 63957. The listed phone number is (573) 223-4233.

What is Clayton Carson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Clayton Carson enrolled in Medicare?

Yes. Clayton Carson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Clayton Carson accept?

Health plans from UnitedHealthcare list Clayton Carson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Clayton Carson affiliated with any hospitals?

According to CMS data, Clayton Carson is affiliated with Poplar Bluff Regional Medical Center and Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Clayton Carson was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.