DR. KEVIN CLAUSS MD
NPI 1013414531
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Boca Raton, FL

Q: What is Kevin Clauss's NPI number?

The NPI number for Kevin Clauss is 1013414531. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Q: What is Kevin Clauss's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Clauss was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 11, 2018PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

950 NW 13TH ST, BOCA RATON, FL 33486(561) 391-8300(561) 391-3744 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2024, Aug 3, 2022, Jun 19, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Kevin Clauss Md NPPES

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

DR. KEVIN CLAUSS MD (NPI 1013414531) is an individual ophthalmic plastic and reconstructive surgery provider in Boca Raton, Florida, licensed in Florida (ME157792) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Texas Medical School At San Antonio (2018).

NPPES Registry Identity

NPI1013414531

Entity TypeIndividualMale

Primary Taxonomy207WX0200X

Provider Legal NameDR. KEVIN CLAUSSCredential: MD

Location Address950 NW 13TH STBoca Raton, FL 33486-2380

Mailing Address950 Nw 13th StBoca Raton, FL 33486-2380 · (561) 391-8300 · Fax (561) 391-3744

Phone(561) 391-8300

Fax(561) 391-3744

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2018

Enumeration DateApril 11, 2018

Last NPPES UpdateJuly 5, 20244 updates tracked since enumeration

NPPES CertifiedJuly 5, 2024

✔ NPI 1013414531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207WX0200X

License✔ Licensed in FL · ME157792

Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

950 NW 13TH ST, Boca Raton, FL 33486

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11611 NW 12th AveMiami, FL 33136-1005 · Phone (505) 350-9750

Location 24502 Medical DrSan Antonio, TX 78229-4402 · Phone (210) 358-3555 · Fax (210) 702-4239

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Molina Healthcare 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. Kevin Clauss Md 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 ID6901287747

PECOS Enrollment IDI20220725003146

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.

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

276 services223 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

198 services196 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

78 services71 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

44 services44 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

36 services36 patients

Exam of visual field with intermediate testing 92082

An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.

30 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33486 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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.

81.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Other Providers at the Same Location NPPES 12

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

JEFFREY M PERLMAN M.D.

Specialist