1. Home
  2. Directory
  3. Missouri
  4. Florissant
  5. Ophthalmology
  6. NPI Profile

DR. CLAYTON GREER SCANLON MD
NPI 1073778460
Ophthalmology - Retina Specialist in Florissant, MO

Active since July 24, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1224 GRAHAM RD, 3011, FLORISSANT, MO 63031(314) 839-1211(314) 893-8429 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2022, Aug 1, 2017 (2 updates tracked since 2017).

About Dr. Clayton Greer Scanlon Md NPPES

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

DR. CLAYTON GREER SCANLON MD (NPI 1073778460) is an individual retina specialist in Florissant, Missouri, licensed in Missouri (2014015320) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Christian Hospital Northeast, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1073778460
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. CLAYTON GREER SCANLONCredential: MD
Location Address1224 GRAHAM RD, 3011Florissant, MO 63031-8028
Mailing Address1224 Graham Rd, 3011Florissant, MO 63031-8028 · (314) 839-1211 · Fax (314) 893-8429
Phone(314) 839-1211
Fax(314) 893-8429
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 24, 2008
Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1073778460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in MO · 2014015320
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
1224 GRAHAM RD, Florissant, MO 63031
Open in Google Maps ↗

Other Identifiers 3

Medicaid1529171TN
Medicaid09488897MS
Medicaid194545001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Clayton Greer Scanlon 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 ID1850557547
PECOS Enrollment IDI20141013001397
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

2

Medicare enrollment records show Clayton Scanlon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Retina Associates Of St Louis, Inc
Same address
Retina Specialist
1224 GRAHAM RD, SUITE 3011
Florissant, MO 63031
  • Reassigned Medicare billing, Missouri enrollment
  • 4 clinicians in this Medicare group
NPI 1750581666 (314) 893-1211
Eye Physicians Of Saint Louis Inc.
13 mi
Ophthalmology
6680 CHIPPEWA ST, SUITE 220
Saint Louis, MO 63109
  • Reassigned Medicare billing, Missouri enrollment
  • 5 clinicians in this Medicare group
NPI 1225096928 (314) 351-0101

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
13,862 services45 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,655 services524 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,172 services205 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
872 services89 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
835 services267 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
574 services373 patients

Hospital Affiliations CMS Care Compare

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

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63031 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
93%566 patients4/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
100%566 patients5/55-star benchmark: 100%
Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
99%601 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%341 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
95%343 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
95%343 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%3,872 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%237 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
1%974 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
0%314 patients1/55-star benchmark: 90%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 898 patients
Patients tobacco: 89% · 898 patients
6%84 patients1/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
49%76 patients1/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
2%1,579 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
6%1,579 patients1/55-star benchmark: 77%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
1%1,579 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 974 patients
0%974 patients5/55-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.

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.

BLONIE WAYNE DUDNEY JR. MD
Ophthalmology (Retina Specialist)
1224 GRAHAM RD, 3011
FLORISSANT, MO 63031
St. Louis County (314) 839-1211
CHRISTIAN HOSPITAL NORTHEAST NORTHWEST
Pharmacy (Community/Retail Pharmacy)
1224 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 953-6740
LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.
Dentist (General Practice)
1224 GRAHAM RD, SUITE 2002
FLORISSANT, MO 63031
St. Louis County (314) 838-3737
SHARI L. KAMINSKY, DPM, PC
Podiatrist (Foot & Ankle Surgery)
1224 GRAHAM RD, SUITE 3010
FLORISSANT, MO 63031
St. Louis County (314) 355-0074
DR. KEVIN J MURPHY MD
Pediatrics
1224 GRAHAM RD, STE 1103
FLORISSANT, MO 63031
St. Louis County (314) 837-0405
CHANDRA S. KAUP,M.D.,P.C.
Internal Medicine
1224 GRAHAM RD, SUITE 2006
FLORISSANT, MO 63031
St. Louis County (314) 830-5233
CHINDA ROJANASATHIT M.D.
Specialist
1224 GRAHAM RD, SUITE 1113
FLORISSANT, MO 63031
St. Louis County (314) 839-4500
RAINBOW PEDIATRICS INC.
Pediatrics
1224 GRAHAM RD, SUITE 3009
FLORISSANT, MO 63031
St. Louis County (314) 839-7500

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 Clayton Scanlon's NPI number?

The NPI number for Clayton Scanlon is 1073778460. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Where is Clayton Scanlon located?

Clayton Scanlon practices at 1224 Graham Rd 3011, Florissant, MO 63031. The listed phone number is (314) 839-1211.

What is Clayton Scanlon's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Clayton Scanlon enrolled in Medicare?

Yes. Clayton Scanlon 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.

Which organizations bill Medicare for Clayton Scanlon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Scanlon reassigns Medicare benefits to 2 organizations: Retina Associates Of St Louis, Inc (Florissant, MO) and Eye Physicians Of Saint Louis Inc. (Saint Louis, MO). 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 Clayton Scanlon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clayton Scanlon accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Clayton Scanlon 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 Clayton Scanlon affiliated with any hospitals?

According to CMS data, Clayton Scanlon is affiliated with Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Clayton Scanlon was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.