1. Home
  2. Directory
  3. New Mexico
  4. Dulce
  5. Family Medicine
  6. NPI Profile

MS. JENNIFER LEA LEA CLAYCOMB MD
NPI 1144323353
Family Medicine in Dulce, NM

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
78.75/100
CMS Quality Rating
500 NORTH MUNDO, DULCE, NM 87528(505) 759-3291(505) 759-3532 Get Directions Write a Review

NPPES record last updated: May 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jennifer Lea Lea Claycomb Md NPPES

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

MS. JENNIFER LEA LEA CLAYCOMB MD (NPI 1144323353) is an individual family medicine provider in Dulce, New Mexico, licensed in Missouri (2005019602) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Northeastern Health System, and is a graduate of University Of Missouri, Columbia School Of Medicine (2004).

NPPES Registry Identity

NPI1144323353
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. JENNIFER LEA LEA CLAYCOMBCredential: MD
Location Address500 NORTH MUNDODulce, NM 87528-0187
Mailing AddressPo Box 187Dulce, NM 87528-0187 · (505) 759-3291 · Fax (505) 759-3532
Phone(505) 759-3291
Fax(505) 759-3532
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2004
Enumeration DateSeptember 6, 2006
Last NPPES UpdateMay 25, 2011
✔ NPI 1144323353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2005019602
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.
500 NORTH MUNDO, Dulce, NM 87528
Open in Google Maps ↗

Other Identifiers 5

OtherHSZ196NM · Medicare Part B
Medicaid000K3526NM
Medicare OSCAR/certification320057NM
Medicaid01929259NM
Other8HN171NM · Provider Medicare #

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

Ms. Jennifer Lea Lea Claycomb 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 ID7517058191
PECOS Enrollment IDI20070810000673
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 2

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.
244 services111 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370089
Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County
Emergency services Birthing friendly

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87528 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.59
Promoting Interoperability98
Improvement Activities40
Cost65.11

Other Providers at the Same Location NPPES 9

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

DEANNA S IOVINE RN
Registered Nurse
500 NORTH MUNDO
DULCE, NM 87528
Rio Arriba County (575) 759-3291
SONJA H EMERSON RN
Registered Nurse (Community Health)
500 NORTH MUNDO
DULCE, NM 87528
Rio Arriba County (575) 759-7286
PHYLLIS DIANE MOREHEAD RN
Registered Nurse
500 NORTH MUNDO
DULCE, NM 87528
Rio Arriba County (575) 759-3291
MARICELA BONILLA O.D.
Optometrist
500 NORTH MUNDO
DULCE, NM 87528
Rio Arriba County (575) 759-7281
STEVEN JOHN PETRAKIS MD
Family Medicine
500 NORTH MUNDO
DULCE, NM 87528
Rio Arriba County (575) 759-3291
MRS. MARIE S MARCH RN
Registered Nurse
500 NORTH MUNDO
DULCE, NM 87528
Rio Arriba County (505) 759-3291
MS. SUSAN CONSTANCE RN
Registered Nurse (Ambulatory Care)
500 NORTH MUNDO
DULCE, NM 87528
Rio Arriba County (505) 759-3291
MS. MARIE TALLENT DELOACH MT(ASCP)
Specialist/Technologist, Pathology (Medical Technologist)
500 NORTH MUNDO
DULCE, NM 87528
Rio Arriba County (575) 759-7252

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 Jennifer Lea Claycomb's NPI number?

The NPI number for Jennifer Lea Claycomb is 1144323353. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Jennifer Lea Claycomb located?

Jennifer Lea Claycomb practices at 500 North Mundo, Dulce, NM 87528. The listed phone number is (505) 759-3291.

What is Jennifer Lea Claycomb's specialty?

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

Is Jennifer Lea Claycomb enrolled in Medicare?

Yes. Jennifer Lea Claycomb 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 Jennifer Lea Claycomb affiliated with any hospitals?

According to CMS data, Jennifer Lea Claycomb is affiliated with Northeastern Health System and Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Lea Claycomb was last updated on May 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.