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MS. HEATHER WHIPPLE CLAGUE M.D.
NPI 1245287663
Psychiatry & Neurology - Psychiatry in Oakland, CA

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
6355 TELEGRAPH AVE, SUIT 203, OAKLAND, CA 94609(519) 869-4999(510) 985-7347 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Heather Whipple Clague M.d. NPPES

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

MS. HEATHER WHIPPLE CLAGUE M.D. (NPI 1245287663) is an individual psychiatry provider in Oakland, California, licensed in California (A73207) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1999).

NPPES Registry Identity

NPI1245287663
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMS. HEATHER WHIPPLE CLAGUECredential: M.D.
Location Address6355 TELEGRAPH AVE, SUIT 203Oakland, CA 94609-1371
Mailing Address6355 Telegraph Ave, Suit 203Oakland, CA 94609-1371 · (519) 869-4999 · Fax (510) 985-7347
Phone(519) 869-4999
Fax(510) 985-7347
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1999
Enumeration DateMay 30, 2006
Last NPPES UpdateJanuary 10, 2018
✔ NPI 1245287663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CA · A73207✔ Licensed in OR · MD185552
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
6355 TELEGRAPH AVE, Oakland, CA 94609
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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

Ms. Heather Whipple Clague 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 ID749446177
PECOS Enrollment IDI20120730000307
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 3

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
35 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

Other Providers at the Same Location NPPES 12

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

MR. BRUCE D. KAMIN L.C.S.W.
Social Worker (Clinical)
6355 TELEGRAPH AVE, 305
OAKLAND, CA 94609
Alameda County (510) 290-5898
JERALDINE ROBERTSON MFT
Marriage & Family Therapist
6355 TELEGRAPH AVE, SUITE 309
OAKLAND, CA 94609
Alameda County (510) 282-4644
NAIMA C. HART MFT
Marriage & Family Therapist
6355 TELEGRAPH AVE, SUITE 308
OAKLAND, CA 94609
Alameda County (510) 333-5754
DR. MELINDA GINNE PH.D.
Psychologist
6355 TELEGRAPH AVE, STE 302
OAKLAND, CA 94609
Alameda County (510) 752-8302
NICHOLAS WIGHTMAN M.A., LMFT
Marriage & Family Therapist
6355 TELEGRAPH AVE, SUITE 301
OAKLAND, CA 94609
Alameda County (510) 717-9957
MS. BONNIE JEAN SERRANO MFT
Marriage & Family Therapist
6355 TELEGRAPH AVE, #303
OAKLAND, CA 94609
Alameda County (510) 594-4007
DR. MIMI WHEIPING LOU PH.D.
Psychologist (Clinical)
6355 TELEGRAPH AVE, SUITE 302
OAKLAND, CA 94609
Alameda County (510) 652-5910
MS. ANNE SAGEWOOD LMFT
Marriage & Family Therapist
6355 TELEGRAPH AVE, SUITE 305
OAKLAND, CA 94609
Alameda County (510) 469-9066

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 Heather Clague's NPI number?

The NPI number for Heather Clague is 1245287663. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Heather Clague located?

Heather Clague practices at 6355 Telegraph Ave Suit 203, Oakland, CA 94609. The listed phone number is (519) 869-4999.

What is Heather Clague's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Heather Clague enrolled in Medicare?

Yes. Heather Clague 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 Heather Clague was last updated on January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.