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LAUREN CLELLAND MD
NPI 1336761063
Family Medicine in Buhl, ID

Active since May 15, 2020PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
980 BURLEY AVE, BUHL, ID 83316(208) 814-8000 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2023, May 15, 2020 (2 updates tracked since 2020).

About Lauren Clelland Md NPPES

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

LAUREN CLELLAND MD (NPI 1336761063) is an individual family medicine provider in Buhl, Idaho, licensed in Idaho (M-16109) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains a secondary practice location in Jerome.

NPPES Registry Identity

NPI1336761063
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLAUREN CLELLANDCredential: MD
Location Address980 BURLEY AVEBuhl, ID 83316-1849
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 814-8000
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2020
Enumeration DateMay 15, 2020
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1336761063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M-16109
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
980 BURLEY AVE, Buhl, ID 83316
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Other Names 1

Former Name (1)Lauren Nesbit

Secondary Practice Location 1

Location 1132 5th Ave W Ste 2Jerome, ID 83338-1825 · Phone (208) 814-9800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Lauren Clelland 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 ID8325461841
PECOS Enrollment IDI20230810003375
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 4

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 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.
116 services74 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.
102 services69 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.
13 services13 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.
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.

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Jerome

Critical Access Hospitals · Jerome, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131310
Location709 North Lincoln AvenueJerome, ID 83338 · Jerome County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83316 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability100
Improvement Activities40
Cost47.94

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers13 claims26 services$6.58 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 4

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

AUSTIN IVINS HIGGINSON PA-C
Physician Assistant
980 BURLEY AVE
BUHL, ID 83316
Twin Falls County (208) 814-9150
SPENCER KELSEY LCSW
Social Worker (Clinical)
980 BURLEY AVE
BUHL, ID 83316
Twin Falls County (208) 814-9150
MRS. LISA CATHERINE REEVES LCSW, MA
Social Worker (Clinical)
980 BURLEY AVE
BUHL, ID 83316
Twin Falls County (208) 814-9100
MICHELLE KRUSE IMANI FNP-C
Nurse Practitioner
980 BURLEY AVE
BUHL, ID 83316
Twin Falls County (208) 814-9150

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 Lauren Clelland's NPI number?

The NPI number for Lauren Clelland is 1336761063. It was assigned to this individual provider in the NPPES registry on May 15, 2020. The provider is also known as Lauren Nesbit.

Where is Lauren Clelland located?

Lauren Clelland practices at 980 Burley Ave, Buhl, ID 83316. The listed phone number is (208) 814-8000.

What is Lauren Clelland's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lauren Clelland enrolled in Medicare?

Yes. Lauren Clelland 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 Lauren Clelland accept?

Health plans from Providence Health Plan list Lauren Clelland 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 Lauren Clelland affiliated with any hospitals?

According to CMS data, Lauren Clelland is affiliated with St Lukes Magic Valley Medical Center, St Luke's Regional Medical Center and St Luke's Jerome.

When was this NPI record last updated?

The NPPES record for Lauren Clelland was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.