DAVID B CLAUSE MD
NPI 1295734465
Orthopaedic Surgery in Opelousas, LA

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
4015 I 49 S SERVICE RD, OPELOUSAS, LA 70570(337) 942-6503(337) 942-8831 Get Directions Write a Review

NPPES record last updated: March 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David B Clause Md NPPES

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

DAVID B CLAUSE MD (NPI 1295734465) is an individual orthopaedic surgery provider in Opelousas, Louisiana, licensed in Louisiana (021674) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Opelousas General Health System, and is a graduate of Tulane University School Of Medicine (1992).

NPPES Registry Identity

NPI1295734465
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDAVID B CLAUSECredential: MD
Location Address4015 I 49 S SERVICE RDOpelousas, LA 70570-0757
Mailing Address4015 I 49 S Service RdOpelousas, LA 70570-0757 · (337) 942-6503 · Fax (337) 942-8831
Fax(337) 942-8831
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1992
Enumeration DateJuly 19, 2005
Last NPPES UpdateMarch 23, 2017
NPI 1295734465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in LA · 021674
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4015 I 49 S SERVICE RD, Opelousas, LA 70570

Other Identifiers 3

Medicaid1823104LA
OtherP00881766LA · Medicare Rr
Medicare UPING56200LA

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

David B Clause Md 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 ID4385556612
PECOS Enrollment IDI20100503000143
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 16

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.
2,833 services229 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.
583 services376 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
409 services235 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
352 services228 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.
239 services173 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
104 services103 patients

Hospital Affiliations CMS Care Compare 4

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

Opelousas General Health System

Acute Care Hospitals · Opelousas, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number190017
Location539 East Prudhomme StreetOpelousas, LA 70570 · St. Landry County
Emergency services Birthing friendly

Savoy Medical Center

Acute Care Hospitals · Mamou, LA
OwnershipVoluntary non-profit - Other
CMS Certification Number190025
Location801 Poinciana AvenueMamou, LA 70554 · Evangeline County
Emergency services

Mercy Regional Medical Center

Acute Care Hospitals · Ville Platte, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190167
Location800 E MainVille Platte, LA 70586 · Evangeline County
Emergency services

Acadian Medical Center

Acute Care Hospitals · Eunice, LA
OwnershipProprietary
CMS Certification Number190318
Location3501 Highway 190 EastEunice, LA 70535 · St. Landry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70570 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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
1 supplier37 claims37 services$67.81 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
3 suppliers17 claims17 services$65.17 avg. paid by Medicare
Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
1 supplier13 claims13 services$82.81 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers13 claims14 services$22.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 David Clause's NPI number?

The NPI number for David Clause is 1295734465. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is David Clause located?

David Clause practices at 4015 I 49 S Service Rd, Opelousas, LA 70570. The listed phone number is (337) 942-6503.

What is David Clause's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Clause enrolled in Medicare?

Yes. David Clause 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 David Clause accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list David Clause 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.

Is David Clause affiliated with any hospitals?

According to CMS data, David Clause is affiliated with Opelousas General Health System, Savoy Medical Center, Mercy Regional Medical Center and Acadian Medical Center.

When was this NPI record last updated?

The NPPES record for David Clause was last updated on March 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.