MRS. CYNTHIA O CLEGG M.D
NPI 1093825424
Dermatology in Fredericksburg, TX

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
95 E HIGHWAY ST, FREDERICKSBURG, TX 78624(830) 997-0898(830) 997-6016 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Cynthia O Clegg M.d NPPES

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

MRS. CYNTHIA O CLEGG M.D (NPI 1093825424) is an individual dermatology provider in Fredericksburg, Texas, licensed in Texas (K5274) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Hill Country Memorial Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1997).

NPPES Registry Identity

NPI1093825424
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMRS. CYNTHIA O CLEGGCredential: M.D
Location Address95 E HIGHWAY STFredericksburg, TX 78624-5132
Mailing Address95 E Highway StFredericksburg, TX 78624-5132 · (830) 997-0898 · Fax (830) 997-6016
Fax(830) 997-6016
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1997
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 27, 2013
NPI 1093825424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TX · K5274
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
95 E HIGHWAY ST, Fredericksburg, TX 78624

Other Identifiers 2

Medicare UPINH50856TX
Medicare ID-Type Unspecified8387M1TX · Medicare

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

Mrs. Cynthia O Clegg 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 ID143379248
PECOS Enrollment IDI20090520000354
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 18

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 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.
1,253 services982 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
606 services247 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
503 services400 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
336 services289 patients
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.
202 services189 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
124 services112 patients

Hospital Affiliations CMS Care Compare

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

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78624 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
100%726 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

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

Dermatology
95 E HIGHWAY ST
FREDERICKSBURG, TX 78624

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 Cynthia Clegg's NPI number?

The NPI number for Cynthia Clegg is 1093825424. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Cynthia Clegg located?

Cynthia Clegg practices at 95 E Highway St, Fredericksburg, TX 78624. The listed phone number is (830) 997-0898.

What is Cynthia Clegg's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Cynthia Clegg enrolled in Medicare?

Yes. Cynthia Clegg 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 Cynthia Clegg accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Cynthia Clegg 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 Cynthia Clegg affiliated with any hospitals?

According to CMS data, Cynthia Clegg is affiliated with Hill Country Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Cynthia Clegg was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.