DR. CLAYTON R LOWDER M.D.
NPI 1184671075
Family Medicine in Sumter, SC

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
325 BROAD ST, SUITE 100, SUMTER, SC 29150(803) 773-5227(803) 774-5011 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Clayton R Lowder M.d. NPPES

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

DR. CLAYTON R LOWDER M.D. (NPI 1184671075) is an individual family medicine provider in Sumter, South Carolina, licensed in South Carolina (17676) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Tuomey Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (1993).

NPPES Registry Identity

NPI1184671075
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CLAYTON R LOWDERCredential: M.D.
Location Address325 BROAD ST, SUITE 100Sumter, SC 29150-4152
Mailing Address325 Broad St, Suite 100Sumter, SC 29150-4152 · (803) 773-5227 · Fax (803) 774-5011
Fax(803) 774-5011
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1993
Enumeration DateMay 27, 2006
Last NPPES UpdateAugust 23, 2013
NPI 1184671075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 17676
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.
Also ListedSpecialistTaxonomy 174400000X · License 17676 (SC)
325 BROAD ST, Sumter, SC 29150

Other Identifiers 4

Other080193765SC · Medicare Rr Pin
Medicare PIN7477SC
Medicare UPINF95747SC
Medicaid176767SC

Accepted 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

Dr. Clayton R Lowder 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 ID840108023
PECOS Enrollment IDI20100924000966
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 80

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
4,350 services39 patients
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.
1,068 services290 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
408 services248 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
400 services239 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
365 services238 patients
Liver function blood test panel 80076
A liver function blood test panel helps check the health of your liver. It measures various proteins, liver enzymes, and bilirubin in your blood. If these levels are too high or too low, it could signal a liver problem. It's a simple, non-invasive test that involves drawing blood.
348 services239 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420070
Location129 N Washington StSumter, SC 29150 · Sumter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29150 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
91%383 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 23

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
2 suppliers11 claims143 services$16.20 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
2 suppliers11 claims330 services$2.37 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers21 claims77 services$6.43 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers27 claims27 services$38.60 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers25 claims25 services$94.48 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers21 claims55 services$35.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Physician Assistant
325 BROAD ST, SUITE 100
SUMTER, SC 29150
Nurse Practitioner (Family)
325 BROAD ST
SUMTER, SC 29150
Family Medicine
325 BROAD ST, SUITE 100
SUMTER, SC 29150
Pharmacist
325 BROAD ST, SUITE 100
SUMTER, SC 29150
Family Medicine
325 BROAD ST, SUITE 100
SUMTER, SC 29150
Physician Assistant (Medical)
325 BROAD ST
SUMTER, SC 29150
Family Medicine
325 BROAD ST, SUITE 100
SUMTER, SC 29150
Nurse Practitioner (Family)
325 BROAD ST
SUMTER, SC 29150

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 Lowder's NPI number?

The NPI number for Clayton Lowder is 1184671075. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Clayton Lowder located?

Clayton Lowder practices at 325 Broad St Suite 100, Sumter, SC 29150. The listed phone number is (803) 773-5227.

What is Clayton Lowder's specialty?

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

Is Clayton Lowder enrolled in Medicare?

Yes. Clayton Lowder 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.

What insurance does Clayton Lowder accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Clayton Lowder 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 Lowder affiliated with any hospitals?

According to CMS data, Clayton Lowder is affiliated with Prisma Health Tuomey Hospital.

When was this NPI record last updated?

The NPPES record for Clayton Lowder was last updated on August 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.