CLAYTON PRATT
NPI 1235661455
Emergency Medicine in Olympia, WA

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
413 LILLY RD NE, OLYMPIA, WA 98506(493) 455-4360 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2020, Mar 28, 2017 (2 updates tracked since 2017).

About Clayton Pratt NPPES

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

CLAYTON PRATT (NPI 1235661455) is an individual emergency medicine provider in Olympia, Washington, licensed in Washington (MD61035956) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1235661455
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCLAYTON PRATT
Location Address413 LILLY RD NEOlympia, WA 98506-5133
Mailing Address2799 W Grand Blvd, Hfh Medical Education DepartmentDetroit, MI 48202-2608 · (313) 916-1553
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
NPI 1235661455 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 WA · MD61035956
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.
413 LILLY RD NE, Olympia, WA 98506

Secondary Practice Location 1

Location 12799 W Grand Blvd, HFH Medical Education DepartmentDetroit, MI 48202-2608 · Phone (313) 916-1553

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 Pratt 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 ID5092135053
PECOS Enrollment IDI20201014000781
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 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.
154 services151 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.
101 services98 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.
94 services92 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.
45 services45 patients

Hospital Affiliations CMS Care Compare

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

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.08
Improvement Activities40

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.

Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE, OLYMPIA EMERGENCY SERVICES
OLYMPIA, WA 98506
Pharmacist
413 LILLY RD NE
OLYMPIA, WA 98506
Pharmacist
413 LILLY RD NE
OLYMPIA, WA 98506
Registered Nurse
413 LILLY RD NE
OLYMPIA, WA 98506
Student in an Organized Health Care Education/Training Program
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE, MSDDH09
OLYMPIA, WA 98506
Social Worker (Clinical)
413 LILLY RD NE
OLYMPIA, WA 98506

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 Pratt's NPI number?

The NPI number for Clayton Pratt is 1235661455. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Clayton Pratt located?

Clayton Pratt practices at 413 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (493) 455-4360.

What is Clayton Pratt's specialty?

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

Is Clayton Pratt enrolled in Medicare?

Yes. Clayton Pratt 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 Pratt affiliated with any hospitals?

According to CMS data, Clayton Pratt is affiliated with Providence St Peter Hospital.

When was this NPI record last updated?

The NPPES record for Clayton Pratt was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.