CLAYTON EUGENE GOULD PA-C
NPI 1174121081
Physician Assistant in Phoenix, AZ

Q: What is Clayton Gould's NPI number?

The NPI number for Clayton Gould is 1174121081. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Q: What is Clayton Gould's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Clayton Gould was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 13, 2020PECOS EnrolledAccepts Medicare Assignment

78.58/100

CMS Quality Rating

5777 E MAYO BLVD, PHOENIX, AZ 85054(480) 301-8000 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 21, 2023, Dec 29, 2022, Oct 13, 2020 (3 updates tracked since 2020).

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About Clayton Eugene Gould Pa-c NPPES

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

CLAYTON EUGENE GOULD PA-C (NPI 1174121081) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (7993) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Flagstaff, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174121081

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCLAYTON EUGENE GOULDCredential: PA-C

Location Address5777 E MAYO BLVDPhoenix, AZ 85054-4502

Mailing Address5777 E Mayo BlvdPhoenix, AZ 85054-4502 · (480) 301-8000

Phone(480) 301-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 13, 2020

Last NPPES UpdateMarch 21, 20233 updates tracked since enumeration

NPPES CertifiedMarch 21, 2023

✔ NPI 1174121081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 7993

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5777 E MAYO BLVD, Phoenix, AZ 85054

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Secondary Practice Location 1

Location 11515 E Cedar Ave Ste A-3Flagstaff, AZ 86004-1630 · Phone (928) 774-2788 · Fax (928) 774-0123

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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

Clayton Eugene Gould Pa-c 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 ID8820408917

PECOS Enrollment IDI20201030000804

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 4

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.

515 services422 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

251 services223 patients

Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421

This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.

78 services65 patients

Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes 99422

This is a digital health service for existing patients. Over a week, your healthcare provider will assess and manage your health concerns online. The total time spent communicating will be between 11-20 minutes. This service offers convenience and continuous care.

22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85054 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

78.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.05

Promoting Interoperability

100

Improvement Activities

Cost

59.56

Other Providers at the Same Location NPPES 20

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

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