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CLINTON JOSEPH KAUFMAN DO
NPI 1134566805
Surgery in Paducah, KY

Active since June 04, 2013PECOS EnrolledAccepts Medicare Assignment
1532 LONE OAK RD STE 235, PADUCAH, KY 42003(270) 442-9463 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2021, Oct 16, 2018, Jul 19, 2018 and 1 more (4 updates tracked since 2015).

About Clinton Joseph Kaufman Do NPPES

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

CLINTON JOSEPH KAUFMAN DO (NPI 1134566805) is an individual surgery provider in Paducah, Kentucky, licensed in Kentucky (04314) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and maintains a secondary practice location in Leitchfield.

NPPES Registry Identity

NPI1134566805
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCLINTON JOSEPH KAUFMANCredential: DO
Location Address1532 LONE OAK RD STE 235Paducah, KY 42003-7941
Mailing Address2200 Jefferson Ave Fl 5Toledo, OH 43604-7102
Phone(270) 442-9463
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2013
Enumeration DateJune 4, 2013
Last NPPES UpdateJune 22, 20214 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1134566805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 04314
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1532 LONE OAK RD STE 235, Paducah, KY 42003
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Secondary Practice Location 1

Location 1910 Wallace AveLeitchfield, KY 42754-2414 · Phone (270) 259-3035 · Fax (370) 259-3332

Other Identifiers 1

Medicaid7100556620KY

Accepted Insurance

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

Clinton Joseph Kaufman Do 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 ID2860621968
PECOS Enrollment IDI20180906001644
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 10

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.
77 services59 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.
76 services56 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
41 services25 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
34 services34 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
31 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Owensboro Health Twin Lakes Medical Center

Acute Care Hospitals · Leitchfield, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180070
Location910 Wallace AvenueLeitchfield, KY 42754 · Grayson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
59%46 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
50%36 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
46%99 patients3/55-star benchmark: 85%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
4%25 patients1/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
68%25 patients3/55-star benchmark: 99%
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.
99%262 patients4/55-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
4%53 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
51%53 patients3/55-star benchmark: 90%
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…
22%152 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
64%55 patients3/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
2%120 patients1/55-star benchmark: 96%
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: 94% · 128 patients
Patients tobacco: 73% · 128 patients
17%35 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
86%43 patients4/55-star benchmark: 89%
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% · 53 patients
0%53 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 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims640 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims510 services$0.36 avg. paid by Medicare
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
2 suppliers16 claims185 services$22.76 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
2 suppliers14 claims130 services$7.59 avg. paid by Medicare
Powered pressure-reducing air mattress E0277
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$314.17 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
2 suppliers16 claims16 services$962.97 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 2

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

ALICE A HIGDON DO
Surgery
1532 LONE OAK RD STE 235
PADUCAH, KY 42003
McCracken County (270) 442-9463
JARED C FRATTINI M.D.
Surgery
1532 LONE OAK RD STE 235
PADUCAH, KY 42003
McCracken County (270) 442-9463

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 Clinton Kaufman's NPI number?

The NPI number for Clinton Kaufman is 1134566805. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Clinton Kaufman located?

Clinton Kaufman practices at 1532 Lone Oak Rd Ste 235, Paducah, KY 42003. The listed phone number is (270) 442-9463.

What is Clinton Kaufman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Clinton Kaufman enrolled in Medicare?

Yes. Clinton Kaufman 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 Clinton Kaufman accept?

Health plans from Anthem Blue Cross and Blue Shield list Clinton Kaufman 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 Clinton Kaufman affiliated with any hospitals?

According to CMS data, Clinton Kaufman is affiliated with Owensboro Health Regional Hospital and Owensboro Health Twin Lakes Medical Center.

When was this NPI record last updated?

The NPPES record for Clinton Kaufman was last updated on June 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.