MATTHEW DANIEL CLAYTON M.D.
NPI 1285962852
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Huntsville, AL

Active since November 19, 2009PECOS EnrolledAccepts Medicare Assignment
87.58/100
CMS Quality Rating
4715 WHITESBURG DR SE, HUNTSVILLE, AL 35802(256) 881-5151(256) 880-3939 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Daniel Clayton M.d. NPPES

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

MATTHEW DANIEL CLAYTON M.D. (NPI 1285962852) is an individual adult reconstructive orthopaedic surgery provider in Huntsville, Alabama, licensed in Alabama (MD.34076) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2009).

NPPES Registry Identity

NPI1285962852
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameMATTHEW DANIEL CLAYTONCredential: M.D.
Location Address4715 WHITESBURG DR SEHuntsville, AL 35802
Mailing Address4715 Whitesburg Dr SeHuntsville, AL 35802-1632 · (256) 881-5151 · Fax (256) 880-3939
Fax(256) 880-3939
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2009
Enumeration DateNovember 19, 2009
Last NPPES UpdateAugust 22, 2018
NPI 1285962852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in AL · MD.34076
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License IN PROCESS (OH)
4715 WHITESBURG DR SE, Huntsville, AL 35802

Accepted 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

Matthew Daniel Clayton 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 ID6800078262
PECOS Enrollment IDI20150728003105
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 21

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.

X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
411 services281 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
358 services286 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
286 services173 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.
272 services197 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.
189 services180 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
164 services154 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.

87.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability93
Improvement Activities40
Cost71.44

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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers16 claims16 services$56.68 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
1 supplier12 claims13 services$82.47 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 20

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

Anesthesiology (Pain Medicine)
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802
Physician Assistant
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802
Family Medicine (Sports Medicine)
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802
Specialist
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802
Physician Assistant
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802
Nurse Practitioner
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802
Physician Assistant
4715 WHITESBURG DR SE
HUNTSVILLE, AL 35802

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 Matthew Clayton's NPI number?

The NPI number for Matthew Clayton is 1285962852. It was assigned to this individual provider in the NPPES registry on November 19, 2009.

Where is Matthew Clayton located?

Matthew Clayton practices at 4715 Whitesburg Dr SE, Huntsville, AL 35802. The listed phone number is (256) 881-5151.

What is Matthew Clayton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Matthew Clayton enrolled in Medicare?

Yes. Matthew 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.

What insurance does Matthew Clayton accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Matthew Clayton 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 Matthew Clayton was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.