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DR. CLAYTON THOMAS HODGES M.D.
NPI 1154680486
Orthopaedic Surgery in Tyler, TX

Active since May 07, 2012PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
700 OLYMPIC PLAZA CIR STE 600, TYLER, TX 75701(903) 596-3844(903) 596-3843 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 8, 2024, Dec 7, 2022, Apr 19, 2022 and 2 more (5 updates tracked since 2018).

About Dr. Clayton Thomas Hodges M.d. NPPES

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

DR. CLAYTON THOMAS HODGES M.D. (NPI 1154680486) is an individual orthopaedic surgery provider in Tyler, Texas, licensed in Texas (T3482) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and maintains a secondary practice location in Beaumont.

NPPES Registry Identity

NPI1154680486
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. CLAYTON THOMAS HODGESCredential: M.D.
Location Address700 OLYMPIC PLAZA CIR STE 600Tyler, TX 75701-1954
Mailing Address11937 Us Highway 271Tyler, TX 75708-3154 · (903) 877-8773
Phone(903) 596-3844
Fax(903) 596-3843
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 2012
Enumeration DateMay 7, 2012
Last NPPES UpdateNovember 8, 20245 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
✔ NPI 1154680486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in TX · T3482✔ Licensed in CA · A126999
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License T3482 (TX)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License T3482 (TX)
700 OLYMPIC PLAZA CIR STE 600, Tyler, TX 75701
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Secondary Practice Location 1

Location 16025 Metropolitan Dr Ste 205Beaumont, TX 77706-2409 · Phone (409) 236-9500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.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 Thomas Hodges 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 ID1254682792
PECOS Enrollment IDI20210929001256
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

3

Medicare enrollment records show Clayton Hodges reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Etmc Physician Group Inc.
0.1 mi
Cardiovascular Disease
1000 S BECKHAM AVE
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 636 clinicians in this Medicare group
NPI 1609382662 (903) 590-5611
Christus Trinity Clinic Texas
0.6 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119
University Of Texas Health Science Center At Tyler
5.3 mi
Nurse Anesthetist, Certified Registered
11937 US HIGHWAY 271
Tyler, TX 75708
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At Tyler-Facilty-Physician
  • 299 clinicians in this Medicare group
NPI 1992868186 (903) 877-7777

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 6

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.
99 services59 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.
53 services53 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
34 services21 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
31 services19 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
30 services22 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

DAVID ROBERT DEWALCH PA-C
Physician Assistant
700 OLYMPIC PLAZA CIR STE 600
TYLER, TX 75701
Smith County (903) 596-3488
EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES
Durable Medical Equipment & Medical Supplies
700 OLYMPIC PLAZA CIR STE 600
TYLER, TX 75701
Smith County (903) 596-3844
MRS. CHRISTINA ANN TINKLER P.A.
Physician Assistant
700 OLYMPIC PLAZA CIR STE 600
TYLER, TX 75701
Smith County (903) 596-3844
JASON BUCKALOO PA
Physician Assistant
700 OLYMPIC PLAZA CIR STE 600
TYLER, TX 75701
Smith County (903) 596-3844
ALIREZA BEHBOUDI D.O.
Orthopaedic Surgery
700 OLYMPIC PLAZA CIR STE 600
TYLER, TX 75701
Smith County (903) 596-3844
ETMC FIRST PHYSICIANS CLINIC
Nurse Practitioner (Family)
700 OLYMPIC PLAZA CIR STE 600
TYLER, TX 75701
Smith County (903) 596-3844
ADRIAN LEE BUTLER MD
Orthopaedic Surgery (Hand Surgery)
700 OLYMPIC PLAZA CIR STE 600
TYLER, TX 75701
Smith County (903) 596-3488
ANTHONY S RHORER MD
Orthopaedic Surgery (Orthopaedic Trauma)
700 OLYMPIC PLAZA CIR STE 600
TYLER, TX 75701
Smith County (903) 596-3844

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 Hodges's NPI number?

The NPI number for Clayton Hodges is 1154680486. It was assigned to this individual provider in the NPPES registry on May 7, 2012.

Where is Clayton Hodges located?

Clayton Hodges practices at 700 Olympic Plaza Cir Ste 600, Tyler, TX 75701. The listed phone number is (903) 596-3844.

What is Clayton Hodges's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Clayton Hodges enrolled in Medicare?

Yes. Clayton Hodges 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 Hodges's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Hodges reassigns Medicare benefits to 3 organizations: Etmc Physician Group Inc. (Tyler, TX), Christus Trinity Clinic Texas (Tyler, TX) and University Of Texas Health Science Center At Tyler (Tyler, TX). 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 Hodges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clayton Hodges accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Clayton Hodges 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 Hodges affiliated with any hospitals?

According to CMS data, Clayton Hodges is affiliated with Christus Southeast Texas- St Elizabeth.

When was this NPI record last updated?

The NPPES record for Clayton Hodges was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.