CLAYTON M DALTON MD
NPI 1174972293
Emergency Medicine in Gallup, NM
About Clayton M Dalton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLAYTON M DALTON MD (NPI 1174972293) is an individual emergency medicine provider in Gallup, New Mexico, licensed in New Mexico (MD2021-0213) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Clayton M Dalton 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.
Medicare Billing Reassignments
4Medicare enrollment records show Clayton Dalton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gallup, NM 87301
- Reassigned Medicare billing, Texas enrollment
- 618 clinicians in this Medicare group
Thoreau, NM 87323
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Dhhs Phs Naihs Crownpoint Hospital
- 265 clinicians in this Medicare group
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 clinicians in this Medicare group
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,105 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unm Hospital
Acute Care Hospitals · Albuquerque, NMGallup Indian Medical Center
Acute Care Hospitals · Gallup, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Dalton's NPI number?
The NPI number for Clayton Dalton is 1174972293. It was assigned to this individual provider in the NPPES registry on June 9, 2016.
Where is Clayton Dalton located?
Clayton Dalton practices at 516 E Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.
What is Clayton Dalton's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Clayton Dalton enrolled in Medicare?
Yes. Clayton Dalton 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 Dalton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Dalton reassigns Medicare benefits to 4 organizations: Dhhs,phs,naihs, Gallup Indian Medical Center (Gallup, NM), Thoreau Clinic (Thoreau, NM), Presbyterian Healthcare Services (Albuquerque, NM) and Unm Medical Group Inc (Albuquerque, NM). 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 Dalton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Clayton Dalton affiliated with any hospitals?
According to CMS data, Clayton Dalton is affiliated with Unm Hospital and Gallup Indian Medical Center.
When was this NPI record last updated?
The NPPES record for Clayton Dalton was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Clayton M Dalton, MD · NPI 1174972293
Emergency Medicine physician in Gallup, New Mexico. Individual provider, active in the CMS NPPES registry since June 9, 2016.
## Identity
- **NPI:** 1174972293 (Entity type: Individual)
- **Enumerated:** June 9, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD2021-0213 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 516 E NIZHONI BLVD, Gallup, NM 87301-5748
- **Phone:** (505) 722-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Dhhs,phs,naihs, Gallup Indian Medical Center (NPI 1225002322, Gallup, NM); Thoreau Clinic (NPI 1679516702, Thoreau, NM); Presbyterian Healthcare Services (NPI 1215913470, Albuquerque, NM); Unm Medical Group Inc (NPI 1831218627, Albuquerque, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Columbia University College Of Physicians And Surgeons, class of 2016
## Record status
- **NPPES last updated:** January 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174972293) · Data from the CMS NPPES public registry.