DR. JOHN SIMPSON CLAPP M.D.
NPI 1457471336
Orthopaedic Surgery in Augusta, GA

Q: What is John Clapp's NPI number?

The NPI number for John Clapp is 1457471336. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Q: What is John Clapp's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for John Clapp was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 April 02, 2007PECOS EnrolledAccepts Medicare Assignment

84.78/100

CMS Quality Rating

811 13TH ST, SUITE 20, AUGUSTA, GA 30901(706) 722-3401(706) 724-6540 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. John Simpson Clapp M.d. NPPES

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

DR. JOHN SIMPSON CLAPP M.D. (NPI 1457471336) is an individual orthopaedic surgery provider in Augusta, Georgia, licensed in Georgia (67546) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1457471336

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JOHN SIMPSON CLAPPCredential: M.D.

Location Address811 13TH ST, SUITE 20Augusta, GA 30901-2700

Mailing Address811 13th St, Suite 20Augusta, GA 30901-2700 · (706) 722-3401 · Fax (706) 724-6540

Phone(706) 722-3401

Fax(706) 724-6540

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateApril 2, 2007

Last NPPES UpdateApril 17, 2017

✔ NPI 1457471336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in GA · 67546

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

811 13TH ST, Augusta, GA 30901

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Other Identifiers 1

Other67546GA · Georgia Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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 Simpson Clapp M.d. 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 ID1759550841

PECOS Enrollment IDI20120718000781

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 22

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 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.

394 services295 patients

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.

267 services228 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

177 services149 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

118 services111 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

81 services81 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

60 services60 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

51 services48 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

49 services36 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

44 services43 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

43 services42 patients

X-ray of spine, 1 view 72020

An X-ray of the spine, 1 view, is a quick and painless imaging procedure. It uses radiation to capture images of the bones in your spine. It helps in detecting issues like fractures, infections, or tumors. You'll be positioned, the machine captures the image, and you're done. It's a safe, routine procedure.

35 services21 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

32 services22 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

27 services22 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

22 services22 patients

Needle measurement of electrical activity in arm or leg muscles, limited study 95885

This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.

22 services17 patients

Incision or removal of lower spine bone segment 22214

This procedure involves making a small incision in the lower back to access the spine. A segment of bone may be removed to relieve pressure on nerves, improve mobility, or treat conditions like herniated discs or spinal stenosis. Recovery varies, but physical therapy may follow.

18 services18 patients

Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc 22630

This procedure involves the fusion of a lower spine bone and the partial removal of a spine bone or disc from the back. It's done to relieve pain or correct a deformity. One disc is involved in this procedure. Recovery time varies based on individual health.

18 services18 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services16 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

15 services15 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

15 services14 patients

Placement of stabilizing device to front, 2-3 spine bone segments 22845

This procedure involves positioning a stabilizing device on the front of 2-3 segments of your spine. It's designed to provide support and stability to your spine, potentially alleviating discomfort and improving mobility.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110028

Location1350 Walton WayAugusta, GA 30901 · Richmond County

Emergency services Birthing friendly

Burke Medical Center

Acute Care Hospitals · Waynesboro, GA

OwnershipProprietary

CMS Certification Number110113

Location351 South Liberty StreetWaynesboro, GA 30830 · Burke County

Doctors Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110177

Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

72.34

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

47%754 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

0%574 patients1/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%139 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%2,233 patients4/55-star benchmark: 100%

e-Prescribing

100%912 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

71%883 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

98%1,483 patients5/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%1,281 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 92% · 1,099 patients

Patients screened: 92% · 1,099 patients

100%72 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

87%841 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

78%215 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 931 patients

Patients totalRate: 4% · 931 patients

4%931 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

4 suppliers14 claims14 services$36.73 avg. paid by Medicare

Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) L0120

DME-Orthotic Devices · category DF000N

1 supplier31 claims31 services$22.70 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.

VAIRAGI CHOKSY

Physician Assistant (Medical)

811 13TH ST, SUITE 10
AUGUSTA, GA 30901

Richmond County (706) 434-1590

AUGUSTA ARTHRITIS CENTER INC

Specialist

811 13TH ST, SUITE 14
AUGUSTA, GA 30901

Richmond County (702) 828-0043

THOMAS ALAN PARFENCHUCK MD

Orthopaedic Surgery

811 13TH ST, STE 20
AUGUSTA, GA 30901

Richmond County (706) 722-3401

JUDAH CHARLES JOHNSON P.A.

Physician Assistant

811 13TH ST, SUITE 20
AUGUSTA, GA 30901

Richmond County (706) 722-3401

KEVIN J OSHEA MD

Orthopaedic Surgery

811 13TH ST, STE 20
AUGUSTA, GA 30901

Richmond County (706) 722-3401

ORTHOPAEDIC ASSOCIATES OF AUGUSTA PA

Orthopaedic Surgery

811 13TH ST, STE 20
AUGUSTA, GA 30901

Richmond County (706) 722-3401

PAUL JAMES HERZWURM MD

Orthopaedic Surgery

811 13TH ST, STE 20
AUGUSTA, GA 30901

Richmond County (706) 722-3401

PATRICK R GAMBLIN P.A.

Physician Assistant

811 13TH ST, SUITE 20
AUGUSTA, GA 30901

Richmond County (706) 722-3401

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 Clapp's NPI number?

The NPI number for John Clapp is 1457471336. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is John Clapp located?

John Clapp practices at 811 13th St Suite 20, Augusta, GA 30901. The listed phone number is (706) 722-3401.

What is John Clapp's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Clapp enrolled in Medicare?

Yes. John Clapp 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 Clapp accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list John Clapp 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 Clapp affiliated with any hospitals?

According to CMS data, John Clapp is affiliated with Piedmont Augusta Hospital, Burke Medical Center and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for John Clapp was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.