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CLAYTON STARNES DO
NPI 1215591326
Emergency Medicine in Visalia, CA

Active since April 24, 2019PECOS EnrolledAccepts Medicare Assignment
400 W MINERAL KING AVE, VISALIA, CA 93291(801) 850-1310 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 11, 2022, Apr 24, 2019 (2 updates tracked since 2019).

About Clayton Starnes Do NPPES

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

CLAYTON STARNES DO (NPI 1215591326) is an individual emergency medicine provider in Visalia, California, licensed in Utah (6531083-1204) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Northeastern Nevada Regional Hospital, and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2019).

NPPES Registry Identity

NPI1215591326
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCLAYTON STARNESCredential: DO
Location Address400 W MINERAL KING AVEVisalia, CA 93291-6237
Mailing Address1034 N 500 WProvo, UT 84604-3380 · (801) 850-1310
Phone(801) 850-1310
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2019
Enumeration DateApril 24, 2019
Last NPPES UpdateMay 11, 20222 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1215591326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in UT · 6531083-1204
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
400 W MINERAL KING AVE, Visalia, CA 93291
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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 Starnes Do 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 ID4880078286
PECOS Enrollment IDI20220902002456, I20250910004309
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 5

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 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.
84 services84 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.
66 services60 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services36 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.
19 services19 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Northeastern Nevada Regional Hospital

Acute Care Hospitals · Elko, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290008
Location2001 Errecart BlvdElko, NV 89801 · Elko County
Emergency services Birthing friendly

Castleview Hospital

Acute Care Hospitals · Price, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460011
Location300 North Hospital DrivePrice, UT 84501 · Carbon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

STEPHANIE SONGEY
Emergency Medicine
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2000
GURSHARNJIT KAUR M.D.
Family Medicine
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-4820
GEORGE J MOUSSALLY MSN,ACNP-BC,CCRN
Nurse Practitioner (Acute Care)
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2000
DR. MATTHEW KIM M.D.
Hospitalist
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2207
VAN NANCY TRINH DO
Anesthesiology
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-6999
STEVEN ANDREW PLATO II M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2732
MS. DANA MARIE PAULSEN CRNA
Nurse Anesthetist, Certified Registered
400 W MINERAL KING AVE, KAWEAH DELTA MEDICAL CENTER
VISALIA, CA 93291
Tulare County (559) 624-2000
HEIDI KRISTEL CORBETT
Social Worker (Clinical)
400 W MINERAL KING AVE
VISALIA, CA 93291
Tulare County (559) 624-2000

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 Starnes's NPI number?

The NPI number for Clayton Starnes is 1215591326. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Clayton Starnes located?

Clayton Starnes practices at 400 W Mineral King Ave, Visalia, CA 93291. The listed phone number is (801) 850-1310.

What is Clayton Starnes's specialty?

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

Is Clayton Starnes enrolled in Medicare?

Yes. Clayton Starnes 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.

Is Clayton Starnes affiliated with any hospitals?

According to CMS data, Clayton Starnes is affiliated with Northeastern Nevada Regional Hospital and Castleview Hospital.

When was this NPI record last updated?

The NPPES record for Clayton Starnes was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.