DR. SAMUEL GRAY MCCLATCHY M.D.
NPI 1356796684
Orthopaedic Surgery - Sports Medicine in Fayetteville, AR

Active since April 23, 2016PECOS EnrolledAccepts Medicare Assignment
92.94/100
CMS Quality Rating
3317 N WIMBERLY DR, FAYETTEVILLE, AR 72703(479) 521-2752(479) 521-4603 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 3, 2022, Jul 16, 2021 (2 updates tracked since 2021).

About Dr. Samuel Gray Mcclatchy M.d. NPPES

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

DR. SAMUEL GRAY MCCLATCHY M.D. (NPI 1356796684) is an individual sports medicine provider in Fayetteville, Arkansas, licensed in Arkansas (E-15633) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2016).

NPPES Registry Identity

NPI1356796684
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. SAMUEL GRAY MCCLATCHYCredential: M.D.
Location Address3317 N WIMBERLY DRFayetteville, AR 72703-4056
Mailing Address3317 N Wimberly DrFayetteville, AR 72703-4056 · (479) 521-2752 · Fax (479) 521-4603
Fax(479) 521-4603
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2016
Enumeration DateApril 23, 2016
Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
NPI 1356796684 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 AR · E-15633
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 SurgeryTaxonomy 207X00000X · License 28373 (MS)
3317 N WIMBERLY DR, Fayetteville, AR 72703

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

Dr. Samuel Gray Mcclatchy 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 ID8527358910
PECOS Enrollment IDI20220729002022
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 shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
178 services140 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.
144 services93 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.
121 services121 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.
107 services100 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.
99 services83 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.
78 services70 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.

92.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.54
Promoting Interoperability100
Improvement Activities40

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.

Orthopaedic Surgery (Hand Surgery)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Physical Therapist
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery (Foot and Ankle Surgery)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Physical Medicine & Rehabilitation (Pain Medicine)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Physician Assistant
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703

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 Samuel Mcclatchy's NPI number?

The NPI number for Samuel Mcclatchy is 1356796684. It was assigned to this individual provider in the NPPES registry on April 23, 2016.

Where is Samuel Mcclatchy located?

Samuel Mcclatchy practices at 3317 N Wimberly Dr, Fayetteville, AR 72703. The listed phone number is (479) 521-2752.

What is Samuel Mcclatchy's specialty?

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

Is Samuel Mcclatchy enrolled in Medicare?

Yes. Samuel Mcclatchy 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 Samuel Mcclatchy accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Samuel Mcclatchy 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 Samuel Mcclatchy was last updated on August 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.