DR. CASSANDRA LEA CLAYBORNE MD
NPI 1053999532
Family Medicine in Harpers Ferry, WV

Q: What is Cassandra Clayborne's NPI number?

The NPI number for Cassandra Clayborne is 1053999532. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Cassandra Clayborne's specialty?

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

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment

171 TAYLOR ST, -, HARPERS FERRY, WV 25425(304) 535-6343(304) 535-6618 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Cassandra Lea Clayborne Md NPPES

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

DR. CASSANDRA LEA CLAYBORNE MD (NPI 1053999532) is an individual family medicine provider in Harpers Ferry, West Virginia, licensed in West Virginia (34074) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and maintains a secondary practice location in Harpers Ferry.

NPPES Registry Identity

NPI1053999532

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CASSANDRA LEA CLAYBORNECredential: MD

Location Address171 TAYLOR ST, -Harpers Ferry, WV 25425-3641

Mailing Address171 Taylor StHarpers Ferry, WV 25425-3641 · (301) 535-6344 · Fax (304) 535-6618

Phone(304) 535-6343

Fax(304) 535-6618

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 29, 2021

Last NPPES UpdateOctober 25, 2024

NPPES CertifiedOctober 25, 2024

✔ NPI 1053999532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WV · 34074

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.

171 TAYLOR ST, Harpers Ferry, WV 25425

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Secondary Practice Location 1

Location 1171 Taylor StHarpers Ferry, WV 25425-3641 · Phone (301) 535-6344 · Fax (304) 535-6618

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Cassandra Lea Clayborne 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 ID5294274429

PECOS Enrollment IDI20240830003264

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 2

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.

32 services26 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.

14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510008

Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County

Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number511319

Location300 South Preston StreetRanson, WV 25438 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25425 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

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.

DR. BRANT DERWENT BOUCHER MD

Student in an Organized Health Care Education/Training Program