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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CLEAVER DERMATOLOGY PC
NPI 1013452861
Dermatology in Kirksville, MO

Active since January 04, 2017CLIA Certified · 2 labs
1316 COUNTRY CLUB DR, KIRKSVILLE, MO 63501(660) 627-7546(660) 956-7096 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2026, Jan 4, 2017 (2 updates tracked since 2017).

About Cleaver Dermatology Pc NPPES

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

CLEAVER DERMATOLOGY PC (NPI 1013452861) is a healthcare organization registered as a dermatology in Kirksville, Missouri and active in the NPI registry since January 2017. The organization holds 2 active CLIA laboratory certificates and lists Crystal K Roberts, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1013452861
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCLEAVER DERMATOLOGY PC
Location Address1316 COUNTRY CLUB DRKirksville, MO 63501-5362
Mailing AddressPo Box 7545Kirksville, MO 63501-7545 · (660) 627-7546 · Fax (660) 956-7096
Phone(660) 627-7546
Fax(660) 956-7096
Organization SubpartNo
Authorized OfficialCrystal K RobertsBilling Supervisor · (660) 956-7053
Enumeration DateJanuary 4, 2017
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1013452861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1316 COUNTRY CLUB DR, Kirksville, MO 63501
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cleaver Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Cleaver Dermatology PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

David Cleaver, D.O.
Dermatology
NPI 1295932648
1316 COUNTRY CLUB DR
Kirksville, MO 63501
(660) 627-7546
✔ PECOS✔ Accepts MedicareSame address
Lloyd Cleaver, DO
Dermatology
NPI 1104829829
1316 COUNTRY CLUB DR
Kirksville, MO 63501
(660) 627-7546
✔ PECOS✔ Accepts MedicareSame address
Jonathan Cleaver, D.O.
Dermatology
NPI 1033431903
1316 COUNTRY CLUB DR
Kirksville, MO 63501
(660) 627-7546
✔ PECOS✔ Accepts Medicare0.1 mi
Baydon Hilton
Dermatology
NPI 1790330371
1003 KINGS RD
Kirksville, MO 63501
(336) 327-0645
✔ PECOS✔ Accepts Medicare2.6 mi
Leslie Marshall, D.O.
Dermatology
NPI 1477878221
1210 N KENTUCKY AVE
West Plains, MO 65775
(417) 256-9111
✔ PECOS✔ Accepts Medicare240 mi
Nathan Cleaver, DO
Dermatology
NPI 1871882225
105 PROFESSIONAL PARK DR
Cumming, GA 30040
(770) 800-3455
✔ PECOS✔ Accepts Medicare620 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 26D0697913

Cleaver Dermatology · Kirksville, MO
Active · expires Mar 21, 2027
CLIA Number26D0697913
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorLloyd J. Cleaver
Laboratory Phone(660) 627-7546
Laboratory LocationCleaver Dermatology1316 Country Club Drive, Kirksville, MO 63501
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 26D2321850

Cleaver Dermatology PC · Trenton, MO
Active · expires Apr 10, 2027
CLIA Number26D2321850
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorJonathan L. Cleaver
Laboratory Phone(660) 627-7546
Laboratory LocationCleaver Dermatology PC3300 E 10th St, Trenton, MO 64683
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Cleaver Dermatology PC's NPI number?

The NPI number for Cleaver Dermatology PC is 1013452861. It was assigned to this organization in the NPPES registry on January 4, 2017.

Where is Cleaver Dermatology PC located?

Cleaver Dermatology PC is located at 1316 Country Club Dr, Kirksville, MO 63501. The listed phone number is (660) 627-7546.

What is Cleaver Dermatology PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Cleaver Dermatology PC enrolled in Medicare?

Yes. Cleaver Dermatology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cleaver Dermatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Dermatology, reassign their Medicare billing to Cleaver Dermatology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cleaver Dermatology PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Cleaver Dermatology PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Cleaver Dermatology PC 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.

When was this NPI record last updated?

The NPPES record for Cleaver Dermatology PC was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.