DR. CLIFTON UMSTEAD D.O.
NPI 1427405497
Family Medicine in Marietta, OH
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Clifton Umstead reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marietta, OH 45750
- Reassigned Medicare billing, Ohio enrollment
- 411 clinicians in this Medicare group
Marietta, OH 45750
- Reassigned Medicare billing, Ohio enrollment
- 247 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, OHSelby General Hospital
Critical Access Hospitals · Marietta, OHCamden Clark Medical Center
Acute Care Hospitals · Parkersburg, WVSistersville General Hospital
Critical Access Hospitals · Sistersville, WVPhysician 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.
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.
MARIETTA, OH 45750
MARIETTA, OH 45750
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.
Which organizations bill Medicare for Clifton Umstead's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clifton Umstead reassigns Medicare benefits to 2 organizations: Marietta Memorial Hospital (Marietta, OH) and Selby General Hospital (Marietta, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clifton Umstead's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Clifton Umstead, D.O. · NPI 1427405497
Family Medicine physician in Marietta, Ohio. Individual provider, active in the CMS NPPES registry since May 19, 2016.
## Identity
- **NPI:** 1427405497 (Entity type: Individual)
- **Enumerated:** May 19, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 34.015728 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 401 MATTHEW ST, Marietta, OH 45750-1635
- **Phone:** (740) 374-7700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Marietta Memorial Hospital (NPI 1215936927, Marietta, OH); Selby General Hospital (NPI 1124073465, Marietta, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 2016
## Record status
- **NPPES last updated:** June 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1427405497) · Data from the CMS NPPES public registry.