CLAYTON M DALTON MD
NPI 1174972293
Emergency Medicine in Gallup, NM

Q: 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.

Q: What is Clayton Dalton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: 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 18 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.

Active since June 09, 2016PECOS EnrolledAccepts Medicare Assignment

83.84/100

CMS Quality Rating

516 E NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2023, Dec 5, 2022 (2 updates tracked since 2022).

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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 is a graduate of Columbia University College Of Physicians And Surgeons (2016).

NPPES Registry Identity

NPI1174972293

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameCLAYTON M DALTONCredential: MD

Location Address516 E NIZHONI BLVDGallup, NM 87301-5748

Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476

Phone(505) 722-1000

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2016

Enumeration DateJune 9, 2016

Last NPPES UpdateJanuary 30, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2025

✔ NPI 1174972293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NM · MD2021-0213

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

516 E NIZHONI BLVD, Gallup, NM 87301

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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 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.

PECOS PAC ID941596696

PECOS Enrollment IDI20220128000101

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.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

80 services74 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

55 services55 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

17 services16 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number320001

Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County

Emergency services Birthing friendly

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM

2/5 CMS rating

OwnershipGovernment - Federal

CMS Certification Number320061

Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County

Emergency services Birthing friendly

Rehoboth Mckinley Christian Health Care Services

Critical Access Hospitals · Gallup, NM

OwnershipVoluntary non-profit - Private

CMS Certification Number321313

Location1901 Red Rock DriveGallup, NM 87301 · Mckinley County

Emergency services

Physician 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.

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.

83.84/100

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

Scored as part of a group practice

Quality

84.59

Promoting Interoperability

100

Improvement Activities

Cost

58.63

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.

JENNIFER MARIE MOORE RN, BSN

Registered Nurse (Medical-Surgical)