DR. THOMAS A CLAGETT MD
NPI 1053846113
Family Medicine in Montrose, CO

Q: What is Thomas Clagett's NPI number?

The NPI number for Thomas Clagett is 1053846113. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Q: What is Thomas Clagett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Clagett was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 26, 2017PECOS Enrolled

816 S 5TH ST STE B, MONTROSE, CO 81401(970) 249-3322(970) 240-7976 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2025, Nov 11, 2025, May 11, 2020 and 1 more (4 updates tracked since 2017).

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About Dr. Thomas A Clagett Md NPPES

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

DR. THOMAS A CLAGETT MD (NPI 1053846113) is an individual family medicine provider in Montrose, Colorado, licensed in Colorado (0063502) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Colorado School Of Medicine, Denver (2017).

NPPES Registry Identity

NPI1053846113

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. THOMAS A CLAGETTCredential: MD

Location Address816 S 5TH ST STE BMontrose, CO 81401-5765

Mailing Address2064 W Freeland DrCoeur D Alene, ID 83815-7084 · (303) 641-3446

Phone(970) 249-3322

Fax(970) 240-7976

Sole ProprietorYes

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2017

Enumeration DateApril 26, 2017

Last NPPES UpdateDecember 12, 20254 updates tracked since enumeration

NPPES CertifiedDecember 12, 2025

✔ NPI 1053846113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CO · 0063502

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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

816 S 5TH ST STE B, Montrose, CO 81401

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Secondary Practice Locations 2

Location 13090 N 12th St Unit BGrand Junction, CO 81506-2804 · Phone (970) 241-2212

Location 22003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · Phone (208) 625-4000

Other Identifiers 1

Other0063502CO · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas A Clagett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375974827

PECOS Enrollment IDI20200515002439

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.

Medicare Billing Reassignments

Medicare enrollment records show Thomas Clagett reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montrose Memorial Hospital, Inc

0.1 mi

Cardiovascular Disease

300 S NEVADA AVE
Montrose, CO 81401

Reassigned Medicare billing, Colorado enrollment
150 clinicians in this Medicare group

NPI 1386966836 (970) 252-1020

Cedar Point Health LLC

2.8 mi

Internal Medicine

3330 S RIO GRANDE AVE STE 300
Montrose, CO 81401

Reassigned Medicare billing, Colorado enrollment
50 clinicians in this Medicare group

NPI 1902804032 (970) 249-7751

Hopewest

56 mi

Hospice Care, Community Based

2754 COMPASS DR, STE 377
Grand Junction, CO 81506

Reassigned Medicare billing, Colorado enrollment
30 clinicians in this Medicare group

NPI 1427041227 (970) 241-2212

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

Areas of Expertise CMS Part B claims 14

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

528 services310 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.

140 services111 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

119 services119 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.

56 services49 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

41 services24 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

32 services31 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 services20 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

20 services18 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

20 services20 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

15 services15 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

14 services14 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

13 services13 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

11 services11 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81401 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

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

2 suppliers14 claims14 services$20.85 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

2 suppliers20 claims20 services$104.33 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 3

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

MR. EDWARD MEDINA FNP

Nurse Practitioner (Family)

816 S 5TH ST STE B
MONTROSE, CO 81401

Montrose County (970) 249-3322

DR. LINDSAY RAE GREENFIELD DNP

Nurse Practitioner (Family)

816 S 5TH ST STE B
MONTROSE, CO 81401

Montrose County (970) 249-3322

CEDAR POINT HEALTH LLC

Family Medicine

816 S 5TH ST STE B
MONTROSE, CO 81401

Montrose County (970) 249-7751

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 Thomas Clagett's NPI number?

The NPI number for Thomas Clagett is 1053846113. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Where is Thomas Clagett located?

Thomas Clagett practices at 816 S 5th St Ste B, Montrose, CO 81401. The listed phone number is (970) 249-3322.

What is Thomas Clagett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Clagett enrolled in Medicare?

Yes. Thomas Clagett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Clagett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Clagett reassigns Medicare benefits to 3 organizations: Montrose Memorial Hospital, Inc (Montrose, CO), Cedar Point Health LLC (Montrose, CO) and Hopewest (Grand Junction, CO). Each 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 Thomas Clagett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Clagett accept?

Health plans from Select Health list Thomas Clagett 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 Thomas Clagett was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.