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DR. DOUG STEVEN CLOUSE M.D.
NPI 1285781401
Orthopaedic Surgery - Sports Medicine in Chandler, AZ

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
30.57/100
CMS Quality Rating
2450 S GILBERT RD STE 109, CHANDLER, AZ 85286(480) 899-4333(480) 899-7219 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2023, May 24, 2022, Apr 29, 2019 (3 updates tracked since 2019).

About Dr. Doug Steven Clouse M.d. NPPES

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

DR. DOUG STEVEN CLOUSE M.D. (NPI 1285781401) is an individual sports medicine provider in Chandler, Arizona, licensed in Arizona (37427) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2002).

NPPES Registry Identity

NPI1285781401
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. DOUG STEVEN CLOUSECredential: M.D.
Location Address2450 S GILBERT RD STE 109Chandler, AZ 85286-1594
Mailing Address2450 S Gilbert Rd Ste 109Chandler, AZ 85286-1594 · (480) 899-4333 · Fax (480) 899-7219
Phone(480) 899-4333
Fax(480) 899-7219
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 2002
Enumeration DateJanuary 3, 2007
Last NPPES UpdateFebruary 6, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
✔ NPI 1285781401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in AZ · 37427
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 37427 (AZ)
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 37427 (AZ)
2450 S GILBERT RD STE 109, Chandler, AZ 85286
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.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. Doug Steven Clouse 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 ID2163596560
PECOS Enrollment IDI20080804000084
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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
700 services115 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.
247 services153 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.
210 services145 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
200 services114 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
103 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
76 services76 patients

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.

30.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality1.42
Improvement Activities0
Cost100

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.05%
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.

Other Providers at the Same Location NPPES 4

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

DOUG S CLOUSE MD PLC
Specialist
2450 S GILBERT RD STE 109
CHANDLER, AZ 85286
Maricopa County (480) 899-4333
TRANSFORMATIVE MEDICAL
Specialist
2450 S GILBERT RD STE 109
CHANDLER, AZ 85286
Maricopa County (480) 899-4333
TJ BARNETT PA-C
Physician Assistant (Medical)
2450 S GILBERT RD STE 109
CHANDLER, AZ 85286
Maricopa County (480) 899-4333
DR. DAVID G STEWART MD
Orthopaedic Surgery (Sports Medicine)
2450 S GILBERT RD STE 109
CHANDLER, AZ 85286
Maricopa County (480) 899-4333

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 Doug Clouse's NPI number?

The NPI number for Doug Clouse is 1285781401. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Doug Clouse located?

Doug Clouse practices at 2450 S Gilbert Rd Ste 109, Chandler, AZ 85286. The listed phone number is (480) 899-4333.

What is Doug Clouse's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Doug Clouse enrolled in Medicare?

Yes. Doug Clouse 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 Doug Clouse accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Doug Clouse 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.

When was this NPI record last updated?

The NPPES record for Doug Clouse was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.