DR. JOHN MADISON CLAIR DO
NPI 1427232354
Internal Medicine in Williston, ND

Active since December 27, 2007PECOS EnrolledAccepts Medicare Assignment
1301 15TH AVE W, WILLISTON, ND 58801(701) 774-7400 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 3, 2017 (3 updates tracked since 2017).

About Dr. John Madison Clair Do NPPES

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

DR. JOHN MADISON CLAIR DO (NPI 1427232354) is an individual internal medicine provider in Williston, North Dakota, licensed in North Dakota (13540) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Sidney Health Center, and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1427232354
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN MADISON CLAIRCredential: DO
Location Address1301 15TH AVE WWilliston, ND 58801-3821
Mailing Address1301 15th Ave WWilliston, ND 58801-3821 · (701) 774-7400
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2006
Enumeration DateDecember 27, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1427232354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in ND · 13540✔ Licensed in NV · DO1452
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.
Also ListedHospitalistTaxonomy 208M00000X · License DO1452 (NV), 13540 (ND)
1301 15TH AVE W, Williston, ND 58801

Secondary Practice Location 1

Location 16857 W Charleston BlvdLas Vegas, NV 89117-1600 · Phone (702) 304-2144 · Fax (702) 304-2147

Other Identifiers 1

Medicaid1463371ND

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. John Madison Clair Do 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 ID7113073594
PECOS Enrollment IDI20150320000976, I20260320001696
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 5

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.
78 services41 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.
44 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services39 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.
33 services32 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.
25 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Sidney Health Center

Critical Access Hospitals · Sidney, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number271344
Location216 14th Ave SWSidney, MT 59270 · Richland County
Emergency services Birthing friendly

Chi St Alexius Health Williston

Critical Access Hospitals · Williston, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351334
Location1301 15th Ave WWilliston, ND 58801 · Williams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58801 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

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 suppliers29 claims29 services$7.38 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$116.25 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.

Pharmacist
1301 15TH AVE W
WILLISTON, ND 58801
Physician Assistant (Medical)
1301 15TH AVE W
WILLISTON, ND 58801
Physical Therapist
1301 15TH AVE W
WILLISTON, ND 58801
Emergency Medicine
1301 15TH AVE W
WILLISTON, ND 58801
Home Health
1301 15TH AVE W
WILLISTON, ND 58801
Occupational Therapist
1301 15TH AVE W
WILLISTON, ND 58801
Nurse Practitioner (Family)
1301 15TH AVE W
WILLISTON, ND 58801
Dietitian, Registered
1301 15TH AVE W
WILLISTON, ND 58801

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 John Clair's NPI number?

The NPI number for John Clair is 1427232354. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Where is John Clair located?

John Clair practices at 1301 15th Ave W, Williston, ND 58801. The listed phone number is (701) 774-7400.

What is John Clair's specialty?

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

Is John Clair enrolled in Medicare?

Yes. John Clair 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 John Clair accept?

Health plans from Blue Cross Blue Shield of North Dakota and Medica list John Clair 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 John Clair affiliated with any hospitals?

According to CMS data, John Clair is affiliated with Sidney Health Center and Chi St Alexius Health Williston.

When was this NPI record last updated?

The NPPES record for John Clair was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.