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DR. KEN R CLAYTON D.O.
NPI 1215010194
Obstetrics & Gynecology in Kailua Kona, HI

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
78-6831 ALII DR STE 411, KAILUA KONA, HI 96740(808) 747-8321 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ken R Clayton D.o. NPPES

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

DR. KEN R CLAYTON D.O. (NPI 1215010194) is an individual obstetrics & gynecology provider in Kailua Kona, Hawaii, licensed in Hawaii (1991) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (1997).

NPPES Registry Identity

NPI1215010194
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. KEN R CLAYTONCredential: D.O.
Location Address78-6831 ALII DR STE 411Kailua Kona, HI 96740-5403
Mailing Address78-6831 Alii Dr Ste 411Kailua Kona, HI 96740-5403 · (808) 747-8321
Phone(808) 747-8321
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 1997
Enumeration DateOctober 23, 2006
Last NPPES UpdateSeptember 24, 2019
✔ NPI 1215010194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in HI · 1991✔ Licensed in CA · 20A 7621✔ Licensed in AZ · 3839
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
78-6831 ALII DR STE 411, Kailua Kona, HI 96740
Open in Google Maps ↗

Other Identifiers 1

Other911174AZ · Ahcccs

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. Ken R Clayton D.o. 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 ID2769449750
PECOS Enrollment IDI20080115000571
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 9

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.
202 services51 patients
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.
180 services64 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
60 services18 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.
49 services33 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
22 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96740 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$7.69 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims7,733 services$0.38 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 2

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

AIMEE A DISHAROON CPM, LM
Midwife
78-6831 ALII DR STE 411
KAILUA KONA, HI 96740
Hawaii County (808) 650-3469
ARIES KUO M.D.
Obstetrics & Gynecology
78-6831 ALII DR STE 411
KAILUA KONA, HI 96740
Hawaii County (088) 747-8322

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 Ken Clayton's NPI number?

The NPI number for Ken Clayton is 1215010194. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Ken Clayton located?

Ken Clayton practices at 78-6831 Alii Dr Ste 411, Kailua Kona, HI 96740. The listed phone number is (808) 747-8321.

What is Ken Clayton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ken Clayton enrolled in Medicare?

Yes. Ken Clayton 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.

When was this NPI record last updated?

The NPPES record for Ken Clayton was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.