CLAY J. ANDERSON MD
NPI 1386268860
Family Medicine in Saint Stephen, SC

Active since June 01, 2020PECOS EnrolledAccepts Medicare Assignment
104 FUNK AVE, SAINT STEPHEN, SC 29479(843) 567-3206(843) 567-3287 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2023, Jun 1, 2020 (2 updates tracked since 2020).

About Clay J. Anderson Md NPPES

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

CLAY J. ANDERSON MD (NPI 1386268860) is an individual family medicine provider in Saint Stephen, South Carolina, licensed in Virginia (0116033794) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2019).

NPPES Registry Identity

NPI1386268860
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCLAY J. ANDERSONCredential: MD
Location Address104 FUNK AVESaint Stephen, SC 29479-3383
Mailing Address104 Funk AveSaint Stephen, SC 29479-3383 · (843) 567-3206
Fax(843) 567-3287
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2019
Enumeration DateJune 1, 2020
Last NPPES UpdateMay 18, 20232 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
NPI 1386268860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in VA · 0116033794 Licensed in SC · 89624
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.
104 FUNK AVE, Saint Stephen, SC 29479

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

Clay J. Anderson 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 ID9436511789
PECOS Enrollment IDI20230817002877
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 16

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.
1,612 services325 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
888 services271 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
457 services215 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
248 services248 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
248 services248 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.
236 services236 patients

Hospital Affiliations CMS Care Compare 3

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

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420110
Location300 Callen BlvdSummerville, SC 29486 · Dorchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29479 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

Family Medicine
104 FUNK AVE
SAINT STEPHEN, SC 29479
Family Medicine
104 FUNK AVE
SAINT STEPHEN, SC 29479
Family Medicine
104 FUNK AVE
SAINT STEPHEN, SC 29479
Family Medicine
104 FUNK AVE
SAINT STEPHEN, SC 29479

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 Anderson's NPI number?

The NPI number for Clay Anderson is 1386268860. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Clay Anderson located?

Clay Anderson practices at 104 Funk Ave, Saint Stephen, SC 29479. The listed phone number is (843) 567-3206.

What is Clay Anderson's specialty?

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

Is Clay Anderson enrolled in Medicare?

Yes. Clay Anderson 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 Clay Anderson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Clay Anderson 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 Clay Anderson affiliated with any hospitals?

According to CMS data, Clay Anderson is affiliated with Trident Medical Center, Roper Hospital and Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for Clay Anderson was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.