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DR. CLAY DUVAL M.D.
NPI 1386098945
Family Medicine in Colorado Springs, CO

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
6011 E WOODMEN RD STE 125, COLORADO SPRINGS, CO 80923(719) 571-8030(719) 571-8031 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2019, Aug 8, 2019 (2 updates tracked since 2019).

About Dr. Clay Duval M.d. NPPES

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

DR. CLAY DUVAL M.D. (NPI 1386098945) is an individual family medicine provider in Colorado Springs, Colorado, licensed in Colorado (DR.0062991) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1386098945
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CLAY DUVALCredential: M.D.
Location Address6011 E WOODMEN RD STE 125Colorado Springs, CO 80923-2603
Mailing Address6011 E Woodmen Rd Ste 125Colorado Springs, CO 80923-2603 · (719) 571-8030 · Fax (719) 571-8031
Phone(719) 571-8030
Fax(719) 571-8031
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 20, 2016
Last NPPES UpdateAugust 26, 20192 updates tracked since enumeration
✔ NPI 1386098945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · DR.0062991
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6011 E WOODMEN RD STE 125, Colorado Springs, CO 80923
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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. Clay Duval 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 ID9537497540
PECOS Enrollment IDI20190828001495
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.
245 services138 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
87 services58 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
79 services79 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.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80923 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
4 suppliers12 claims24 services$6.65 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$11.74 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers17 claims17 services$30.70 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 3

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

CATHOLIC HEALTH INITIATIVES COLORADO
Family Medicine
6011 E WOODMEN RD STE 125
COLORADO SPRINGS, CO 80923
El Paso County (719) 571-8030
DR. ERIC RYAN PITTMAN M.D.
Family Medicine
6011 E WOODMEN RD STE 125
COLORADO SPRINGS, CO 80923
El Paso County (719) 571-8030
ANDREA ANN BUCCI GREGERSON MD
Family Medicine
6011 E WOODMEN RD STE 125
COLORADO SPRINGS, CO 80923
El Paso County (719) 571-8030

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 Clay Duval's NPI number?

The NPI number for Clay Duval is 1386098945. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Clay Duval located?

Clay Duval practices at 6011 E Woodmen Rd Ste 125, Colorado Springs, CO 80923. The listed phone number is (719) 571-8030.

What is Clay Duval's specialty?

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

Is Clay Duval enrolled in Medicare?

Yes. Clay Duval 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.

When was this NPI record last updated?

The NPPES record for Clay Duval was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.