DR. JOHN A CLAY M.D.
NPI 1093905994
Family Medicine in Colonial Heights, VA

Active since July 26, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
930 SOUTH AVE, COLONIAL HEIGHTS, VA 23834(804) 504-8025(804) 504-8026 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John A Clay M.d. NPPES

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

DR. JOHN A CLAY M.D. (NPI 1093905994) is an individual family medicine provider in Colonial Heights, Virginia, licensed in Virginia (0101244100) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (2007).

NPPES Registry Identity

NPI1093905994
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN A CLAYCredential: M.D.
Location Address930 SOUTH AVEColonial Heights, VA 23834-3621
Mailing Address930 South AveColonial Heights, VA 23834-3621 · (804) 504-8025 · Fax (804) 504-8026
Fax(804) 504-8026
Sole ProprietorYes
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2007
Enumeration DateJuly 26, 2007
Last NPPES UpdateJuly 1, 2013
NPI 1093905994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101244100
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.
930 SOUTH AVE, Colonial Heights, VA 23834

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. John A Clay 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 ID4789748807
PECOS Enrollment IDI20090203000767
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 23

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, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
30,105 services61 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.
2,069 services1,105 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.
508 services508 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
285 services55 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.
244 services206 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
177 services90 patients

Hospital Affiliations CMS Care Compare 5

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

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490020
Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County
Emergency services

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23834 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
95%4,695 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%2,468 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.

Referred Medical Equipment & Supplies CMS DME claims 11

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
27 suppliers184 claims410 services$6.08 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers21 claims21 services$2.94 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
5 suppliers11 claims11 services$1.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
18 suppliers83 claims97 services$1.12 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers11 claims11 services$35.78 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers15 claims90 services$2.18 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 6

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

Clinic/Center (Radiology)
930 SOUTH AVE, SUITE 101
COLONIAL HEIGHTS, VA 23834
Surgery
930 SOUTH AVE, SUITE 4 A
COLONIAL HEIGHTS, VA 23834
Surgery
930 SOUTH AVE, SUITE 4A
COLONIAL HEIGHTS, VA 23834
Specialist
930 SOUTH AVE, SUITE 4 A
COLONIAL HEIGHTS, VA 23834
Clinic/Center (Radiology)
930 SOUTH AVE, SUITE 101
COLONIAL HEIGHTS, VA 23834
Clinic/Center (Ambulatory Surgical)
930 SOUTH AVE, SUITE 2
COLONIAL HEIGHTS, VA 23834

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 John Clay's NPI number?

The NPI number for John Clay is 1093905994. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is John Clay located?

John Clay practices at 930 South Ave, Colonial Heights, VA 23834. The listed phone number is (804) 504-8025.

What is John Clay's specialty?

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

Is John Clay enrolled in Medicare?

Yes. John Clay 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.

Is John Clay affiliated with any hospitals?

According to CMS data, John Clay is affiliated with John Randolph Medical Center, Medical College Of Virginia Hospitals, Bon Secours St Marys Hospital, Bon Secours Southside Medical Center and Cjw Medical Center.

When was this NPI record last updated?

The NPPES record for John Clay was last updated on July 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.