DR. CLINTON JAMES MASTERSON M.D.
NPI 1407067168
Emergency Medicine in South Lake Tahoe, CA

Active since May 24, 2007PECOS Enrolled
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(530) 541-3420 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Clinton James Masterson M.d. NPPES

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

DR. CLINTON JAMES MASTERSON M.D. (NPI 1407067168) is an individual emergency medicine provider in South Lake Tahoe, California, licensed in California (A100433) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fairmont.

NPPES Registry Identity

NPI1407067168
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CLINTON JAMES MASTERSONCredential: M.D.
Location Address2170 SOUTH AVESouth Lake Tahoe, CA 96150-7026
Mailing Address1111 Emerald Bay RdSouth Lake Tahoe, CA 96150-6207 · (530) 543-5652 · Fax (530) 541-8723
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
NPI 1407067168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in CA · A100433 Licensed in TX · M7408 Licensed in NV · 12330 Licensed in NY · 234413 Licensed in CO · 44775
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2170 SOUTH AVE, South Lake Tahoe, CA 96150

Secondary Practice Location 1

Location 1800 Medical Center DrFairmont, MN 56031-4575 · Phone (507) 238-8100

Other Identifiers 2

Medicaid1407067168NV
Medicaid1407067168CA

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 (PECOS)

Dr. Clinton James Masterson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
112 services107 patients
Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
66 services61 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
32 services30 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96150 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
2170 SOUTH AVE, BARTON MEMORIAL HOSPITAL PATHOLOGY
SOUTH LAKE TAHOE, CA 96150
Pathology (Anatomic Pathology & Clinical Pathology)
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Anesthesiology
2170 SOUTH AVE, BARTON MEMORIAL HOSPITAL- SURGERY
SOUTH LAKE TAHOE, CA 96150
Anesthesiology (Pain Medicine)
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Anesthesiology
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Physical Therapist
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Physical Therapist
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Dietitian, Registered
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407067168, enumerated as an "individual" on May 24, 2007.

The provider is located at 2170 SOUTH AVE SOUTH LAKE TAHOE, CA 96150 and the phone number is (530) 541-3420.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medica,. Please consult your insurance carrier or call the provider to verify.