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DR. CLAYTON LEWIS THELEMAN M.D.
NPI 1013322080
Surgery in Liberty, MO

Active since June 27, 2014PECOS EnrolledAccepts Medicare Assignment
75.53/100
CMS Quality Rating
2521 GLENN HENDREN DR STE 108, LIBERTY, MO 64068(816) 781-3515(816) 781-3517 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Clayton Lewis Theleman M.d. NPPES

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

DR. CLAYTON LEWIS THELEMAN M.D. (NPI 1013322080) is an individual surgery provider in Liberty, Missouri, licensed in Missouri (2019014000) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with New Liberty Hospital District, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2014).

NPPES Registry Identity

NPI1013322080
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CLAYTON LEWIS THELEMANCredential: M.D.
Location Address2521 GLENN HENDREN DR STE 108Liberty, MO 64068
Mailing AddressPo Box 219672Kansas City, MO 64121-9672 · (816) 407-4555 · Fax (816) 407-2362
Phone(816) 781-3515
Fax(816) 781-3517
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2014
Enumeration DateJune 27, 2014
Last NPPES UpdateJune 27, 2019
✔ NPI 1013322080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MO · 2019014000✔ Licensed in IL · 12506876
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2521 GLENN HENDREN DR STE 108, Liberty, MO 64068
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company and more.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

Dr. Clayton Lewis Theleman M.d. 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 ID8729392485
PECOS Enrollment IDI20190710003549
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
51 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services42 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
39 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

New Liberty Hospital District

Acute Care Hospitals · Liberty, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260177
Location2525 Glenn Hendren DrLiberty, MO 64069 · Clay County
Emergency services Birthing friendly

Excelsior Springs Hospital

Critical Access Hospitals · Excelsior Springs, MO
OwnershipGovernment - Local
CMS Certification Number261322
Location1700 Rainbow BoulevardExcelsior Springs, MO 64024 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64068 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
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.

75.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.8
Promoting Interoperability100
Improvement Activities40
Cost51.64

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

CLIFFORD M GALL M.D.
Neurological Surgery
2521 GLENN HENDREN DR STE 108
LIBERTY, MO 64068
Clay County (816) 781-3515
ALAN WILLIAM GOOD MD
Surgery
2521 GLENN HENDREN DR STE 108
LIBERTY, MO 64068
Clay County (816) 781-3515
ANNA KATHERINE CLARK GIBSON M.D.
Surgery
2521 GLENN HENDREN DR STE 108
LIBERTY, MO 64068
Clay County (816) 781-3515
DR. JORDAN MYHRE M.D.
Surgery
2521 GLENN HENDREN DR STE 108
LIBERTY, MO 64068
Clay County (167) 813-5158

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 Theleman's NPI number?

The NPI number for Clayton Theleman is 1013322080. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Where is Clayton Theleman located?

Clayton Theleman practices at 2521 Glenn Hendren Dr Ste 108, Liberty, MO 64068. The listed phone number is (816) 781-3515.

What is Clayton Theleman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Clayton Theleman enrolled in Medicare?

Yes. Clayton Theleman 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 Theleman accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company and UnitedHealthcare list Clayton Theleman 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 Theleman affiliated with any hospitals?

According to CMS data, Clayton Theleman is affiliated with New Liberty Hospital District and Excelsior Springs Hospital.

When was this NPI record last updated?

The NPPES record for Clayton Theleman was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.