DR. AMY K CLOUSE MD
NPI 1376836999
Internal Medicine in Walnut Creek, CA

Active since May 16, 2011PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
1220 ROSSMOOR PKWY, WALNUT CREEK, CA 94595(925) 947-3393 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Amy K Clouse Md NPPES

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

DR. AMY K CLOUSE MD (NPI 1376836999) is an individual internal medicine provider in Walnut Creek, California, licensed in California (A123609) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sylmar, and is a graduate of University Of California, San Francisco School Of Medicine (2011).

NPPES Registry Identity

NPI1376836999
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. AMY K CLOUSECredential: MD
Location Address1220 ROSSMOOR PKWYWalnut Creek, CA 94595-2501
Mailing Address1450 Treat Blvd, # 300Walnut Creek, CA 94597-2168 · (925) 952-2888
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2011
Enumeration DateMay 16, 2011
Last NPPES UpdateDecember 10, 2018
✔ NPI 1376836999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A123609
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1220 ROSSMOOR PKWY, Walnut Creek, CA 94595

Secondary Practice Location 1

Location 114445 Olive View Dr Rm 2B182Sylmar, CA 91342-1437 · Phone (818) 364-3205 · Fax (818) 364-4573

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Amy K Clouse 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 ID8527281971
PECOS Enrollment IDI20140603002098
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

3

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

Hospitalist
1601 YGNACIO VALLEY RD
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 810 clinicians in this Medicare group
General Practice
1450 TREAT BLVD, SUITE 300
Walnut Creek, CA 94597
  • Reassigned Medicare billing, California enrollment
  • 650 clinicians in this Medicare group
Clinic/Center
335 E AVENUE I
Lancaster, CA 93535
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of Los Angeles
  • 1,939 clinicians in this Medicare group

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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
314 services123 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
55 services55 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
40 services40 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
37 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94595 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims16 services$4.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$74.80 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.

Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Family Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Hospitalist
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595

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 Amy Clouse's NPI number?

The NPI number for Amy Clouse is 1376836999. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Amy Clouse located?

Amy Clouse practices at 1220 Rossmoor Pkwy, Walnut Creek, CA 94595. The listed phone number is (925) 947-3393.

What is Amy Clouse's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Amy Clouse enrolled in Medicare?

Yes. Amy Clouse 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.

Which organizations bill Medicare for Amy Clouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Clouse reassigns Medicare benefits to 3 organizations: John Muir Trauma Physicians Billing Service (Walnut Creek, CA), John Muir Physician Network (Walnut Creek, CA) and County Of Los Angeles Auditor Controller (Lancaster, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Clouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Clouse was last updated on December 10, 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.