JESSE CLANTON M.D.
NPI 1023246295
Surgery in Columbia, SC

Active since June 26, 2009PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
2 MEDICAL PARK RD STE 300, COLUMBIA, SC 29203(803) 545-5800(803) 929-0492 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jesse Clanton M.d. NPPES

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

JESSE CLANTON M.D. (NPI 1023246295) is an individual surgery provider in Columbia, South Carolina, licensed in West Virginia (26438) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1023246295
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJESSE CLANTONCredential: M.D.
Location Address2 MEDICAL PARK RD STE 300Columbia, SC 29203-6839
Mailing Address3110 Maccorkle Ave SeCharleston, WV 25304-1210 · (304) 347-1297
Fax(803) 929-0492
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 26, 2009
Last NPPES UpdateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
NPI 1023246295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WV · 26438
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.

2 MEDICAL PARK RD STE 300, Columbia, SC 29203

Secondary Practice Location 1

Location 13100 MacCorkle Ave SE Ste 700Charleston, WV 25304-1230 · Phone (304) 556-3810 · Fax (304) 556-3820

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

Jesse Clanton 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 ID6204065899
PECOS Enrollment IDI20200115000004
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 4

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.
70 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
62 services44 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist Parkridge

Acute Care Hospitals · Columbia, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420106
Location400 Palmetto Health ParkwayColumbia, SC 29212 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Surgery (Vascular Surgery)
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
Surgery
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
Surgery
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
Physician Assistant
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
Physician Assistant (Surgical)
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
Surgery (Surgical Oncology)
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
Physician Assistant
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
Plastic Surgery (Surgery of the Hand)
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203

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 Jesse Clanton's NPI number?

The NPI number for Jesse Clanton is 1023246295. It was assigned to this individual provider in the NPPES registry on June 26, 2009.

Where is Jesse Clanton located?

Jesse Clanton practices at 2 Medical Park Rd Ste 300, Columbia, SC 29203. The listed phone number is (803) 545-5800.

What is Jesse Clanton's specialty?

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

Is Jesse Clanton enrolled in Medicare?

Yes. Jesse Clanton 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 Jesse Clanton accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and CareSource list Jesse Clanton 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 Jesse Clanton affiliated with any hospitals?

According to CMS data, Jesse Clanton is affiliated with Prisma Health Richland Hospital, Prisma Health Baptist and Prisma Health Baptist Parkridge.

When was this NPI record last updated?

The NPPES record for Jesse Clanton was last updated on September 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.