DR. CLIFTON UMSTEAD D.O.
NPI 1427405497
Family Medicine in Marietta, OH

Q: What is Clifton Umstead's NPI number?

The NPI number for Clifton Umstead is 1427405497. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Q: What is Clifton Umstead's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clifton Umstead was last updated on June 1, 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.

Active since May 19, 2016PECOS EnrolledAccepts Medicare Assignment

401 MATTHEW ST, MARIETTA, OH 45750(740) 374-7700 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2022, Apr 14, 2022, Mar 9, 2022 and 1 more (4 updates tracked since 2016).

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About Dr. Clifton Umstead D.o. NPPES

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

DR. CLIFTON UMSTEAD D.O. (NPI 1427405497) is an individual family medicine provider in Marietta, Ohio, licensed in Ohio (34.015728) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1427405497

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CLIFTON UMSTEADCredential: D.O.

Location Address401 MATTHEW STMarietta, OH 45750-1635

Mailing Address17855 State Route 821Macksburg, OH 45746-7502 · (631) 819-2396

Phone(740) 374-7700

Sole ProprietorYes

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2016

Enumeration DateMay 19, 2016

Last NPPES UpdateJune 1, 20224 updates tracked since enumeration

NPPES CertifiedJune 1, 2022

✔ NPI 1427405497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OH · 34.015728✔ Licensed in NY · 292574

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.

401 MATTHEW ST, Marietta, OH 45750

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Secondary Practice Location 1

Location 11106 Colegate DrMarietta, OH 45750-1323 · Phone (740) 374-7700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Clifton Umstead D.o. 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 ID9032440649

PECOS Enrollment IDI20220503001320

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 2

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.

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.

281 services267 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.

29 services28 patients

Hospital Affiliations CMS Care Compare 4

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360147

Location401 Matthew StreetMarietta, OH 45750 · Washington County

Emergency services Birthing friendly

Selby General Hospital

Critical Access Hospitals · Marietta, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361319

Location1106 Colegate DriveMarietta, OH 45750 · Washington County

Emergency services

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510058

Location800 Garfield AveParkersburg, WV 26101 · Wood County

Emergency services Birthing friendly

Sistersville General Hospital

Critical Access Hospitals · Sistersville, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511304

Location314 South Wells StreetSistersville, WV 26175 · Tyler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

CONSTANCE J OATES FNP

Nurse Practitioner

401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750

Washington County (740) 376-1939

JANELLE A THOMAS MD

Emergency Medicine

401 MATTHEW ST, EMERGENCY DEPT
MARIETTA, OH 45750

Washington County (740) 374-1400

LEXIE MULLEN MS, CCC-SLP

Speech-Language Pathologist

401 MATTHEW ST
MARIETTA, OH 45750

Washington County (740) 374-1422

DR. DIANA WHEELER DO

Family Medicine

401 MATTHEW ST
MARIETTA, OH 45750

Washington County (740) 374-7700

JULIAN ADAM JOHN JAKUBOWSKI DO

Emergency Medicine

401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750

Washington County (740) 376-1939

GEOFFREY SIROCKMAN DO

Emergency Medicine

401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750

Washington County (740) 568-5669

PUSHPA UPRETY FNP

Nurse Practitioner (Family)

401 MATTHEW ST
MARIETTA, OH 45750

Washington County (740) 374-1494

DR. DISHA SHAH MD

Student in an Organized Health Care Education/Training Program

401 MATTHEW ST
MARIETTA, OH 45750

Washington County (740) 374-1400

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 Clifton Umstead's NPI number?

The NPI number for Clifton Umstead is 1427405497. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Where is Clifton Umstead located?

Clifton Umstead practices at 401 Matthew St, Marietta, OH 45750. The listed phone number is (740) 374-7700.

What is Clifton Umstead's specialty?

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

Is Clifton Umstead enrolled in Medicare?

Yes. Clifton Umstead 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 Clifton Umstead accept?

Health plans from CareSource list Clifton Umstead 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 Clifton Umstead affiliated with any hospitals?

According to CMS data, Clifton Umstead is affiliated with Marietta Memorial Hospital, Selby General Hospital, Camden Clark Medical Center and Sistersville General Hospital.

When was this NPI record last updated?

The NPPES record for Clifton Umstead was last updated on June 1, 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.