GWENDOLYN KRISTINA CLAYTON M.D.
NPI 1073708962
Family Medicine in Tampa, FL

Active since September 13, 2007PECOS EnrolledAccepts Medicare Assignment
13330 USF LAUREL DR, MDC13, TAMPA, FL 33612(813) 974-2201 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2021, Jun 29, 2016 (2 updates tracked since 2016).

About Gwendolyn Kristina Clayton M.d. NPPES

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

GWENDOLYN KRISTINA CLAYTON M.D. (NPI 1073708962) is an individual family medicine provider in Tampa, Florida, licensed in Florida (ME121987) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Orlando Health Bayfront Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2006).

NPPES Registry Identity

NPI1073708962
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGWENDOLYN KRISTINA CLAYTONCredential: M.D.
Location Address13330 USF LAUREL DR, MDC13Tampa, FL 33612-6601
Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 974-2201 · Fax (813) 974-4325
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2006
Enumeration DateSeptember 13, 2007
Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
NPI 1073708962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME121987
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.
13330 USF LAUREL DR, Tampa, FL 33612

Other Identifiers 2

OtherH0BEMFL · Blue Cross Blue Shield
Medicaid017941900FL

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

Gwendolyn Kristina Clayton 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 ID5597059709
PECOS Enrollment IDI20160811000578
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.

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.
157 services98 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.
31 services29 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.
18 services16 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Orlando Health Bayfront Hospital

Acute Care Hospitals · Saint Petersburg, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100032
Location701 6th St SSaint Petersburg, FL 33701 · Pinellas County
Emergency services Birthing friendly

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%66 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
43%136 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims48 services$4.73 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers24 claims24 services$210.00 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 20

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

Allergy & Immunology
13330 USF LAUREL DR
TAMPA, FL 33612
Nurse Practitioner (Acute Care)
13330 USF LAUREL DR
TAMPA, FL 33612
Dietitian, Registered
13330 USF LAUREL DR, DIABETES CENTER
TAMPA, FL 33612
Internal Medicine (Hematology & Oncology)
13330 USF LAUREL DR
TAMPA, FL 33612
Family Medicine
13330 USF LAUREL DR
TAMPA, FL 33612
Ophthalmology
13330 USF LAUREL DR
TAMPA, FL 33612
Dermatology
13330 USF LAUREL DR, MDC79
TAMPA, FL 33612
Nurse Practitioner (Family)
13330 USF LAUREL DR
TAMPA, FL 33612

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 Gwendolyn Clayton's NPI number?

The NPI number for Gwendolyn Clayton is 1073708962. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Where is Gwendolyn Clayton located?

Gwendolyn Clayton practices at 13330 Usf Laurel Dr Mdc13, Tampa, FL 33612. The listed phone number is (813) 974-2201.

What is Gwendolyn Clayton's specialty?

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

Is Gwendolyn Clayton enrolled in Medicare?

Yes. Gwendolyn Clayton 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 Gwendolyn Clayton accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Gwendolyn Clayton 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 Gwendolyn Clayton affiliated with any hospitals?

According to CMS data, Gwendolyn Clayton is affiliated with Orlando Health Bayfront Hospital and Tampa General Hospital.

When was this NPI record last updated?

The NPPES record for Gwendolyn Clayton was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.