Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. HEATHER MARIE CLAWGES M.D.
NPI 1316027410
Pediatrics in Ronceverte, WV

Q: What is Heather Clawges's NPI number?

The NPI number for Heather Clawges is 1316027410. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Q: What is Heather Clawges's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Clawges was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.

Active since October 16, 2006PECOS Enrolled

94.1/100

CMS Quality Rating

1322 MAPLEWOOD AVE, RONCEVERTE, WV 24970(304) 647-6559(304) 793-2270 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 15, 2026, Apr 13, 2022, Jan 6, 2021 and 2 more (5 updates tracked since 2020).

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About Dr. Heather Marie Clawges M.d. NPPES

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

DR. HEATHER MARIE CLAWGES M.D. (NPI 1316027410) is an individual pediatrics provider in Ronceverte, West Virginia, licensed in West Virginia (21315) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Camc Greenbrier Valley Medical Center, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316027410

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. HEATHER MARIE CLAWGESCredential: M.D.

Location Address1322 MAPLEWOOD AVERonceverte, WV 24970-8016

Mailing Address176 Dawkins DrLewisburg, WV 24901-9302 · (304) 645-6083 · Fax (304) 793-2270

Phone(304) 647-6559

Fax(304) 793-2270

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2000

Enumeration DateOctober 16, 2006

Last NPPES UpdateOctober 15, 20265 updates tracked since enumeration

NPPES CertifiedOctober 15, 2026

✔ NPI 1316027410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WV · 21315

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1322 MAPLEWOOD AVE, Ronceverte, WV 24970

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Secondary Practice Locations 2

Location 1121 Main St WOak Hill, WV 25901-2943 · Phone (304) 647-6559

Location 2102 Brookshire LnBeckley, WV 25801-6761 · Phone (304) 647-6559

Other Identifiers 1

Medicaid3810000452WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Heather Marie Clawges M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486629565

PECOS Enrollment IDI20040901000232

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.

Medicare Billing Reassignments

Medicare enrollment records show Heather Clawges reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Camc Greenbrier Valley Medical Center, Inc.

Same address

Optometrist

1322 MAPLEWOOD AVE
Ronceverte, WV 24970

Reassigned Medicare billing, West Virginia enrollment
142 clinicians in this Medicare group

NPI 1962287722 (304) 347-5114

West Virginia University Medical Corporation

108 mi

Clinical Medical Laboratory

527 MEDICAL PARK DR, SUITE 108
Bridgeport, WV 26330

Reassigned Medicare billing, West Virginia enrollment
2,471 clinicians in this Medicare group

NPI 1457605404 (304) 848-2152

Associated Specialists, Inc.

108 mi

Infectious Disease

527 MEDICAL PARK DRIVE, SUITE 204
Bridgeport, WV 26330

Reassigned Medicare billing, West Virginia enrollment
7 clinicians in this Medicare group

NPI 1427165596 (304) 933-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

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.

178 services147 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.

104 services102 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

101 services97 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

98 services97 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

70 services70 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

34 services27 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.

27 services27 patients

Sleep study in sleep lab (6 years or older) 95810

18 services17 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

18 services18 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

17 services16 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.

14 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Camc Greenbrier Valley Medical Center, Inc

Acute Care Hospitals · Ronceverte, WV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number510002

Location1320 Maplewood AvenueRonceverte, WV 24970 · Greenbrier County

Emergency services Birthing friendly

Camc Plateau Medical Center, Inc

Critical Access Hospitals · Oak Hill, WV

3/5 CMS rating

OwnershipProprietary

CMS Certification Number511317

Location430 Main Street, WestOak Hill, WV 25901 · Fayette County

Emergency services

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511322

Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24970 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604