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CLAYTON F RUNFALO MD
NPI 1477895225
Family Medicine in Gonzales, LA

Active since March 20, 2013PECOS EnrolledAccepts Medicare Assignment
2400 S BURNSIDE AVE, GONZALES, LA 70737(225) 709-2410(225) 459-7064 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2025, Jun 4, 2021, Dec 5, 2019 and 3 more (6 updates tracked since 2015).

About Clayton F Runfalo Md NPPES

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

CLAYTON F RUNFALO MD (NPI 1477895225) is an individual family medicine provider in Gonzales, Louisiana, licensed in Louisiana (MD.208123) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1477895225
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCLAYTON F RUNFALOCredential: MD
Location Address2400 S BURNSIDE AVEGonzales, LA 70737-4645
Mailing Address2400 S Burnside AveGonzales, LA 70737-4645 · (225) 709-2410 · Fax (225) 459-7064
Phone(225) 709-2410
Fax(225) 459-7064
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2013
Enumeration DateMarch 20, 2013
Last NPPES UpdateMarch 3, 20256 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1477895225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · MD.208123
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.
2400 S BURNSIDE AVE, Gonzales, LA 70737
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11702 N Burnside Ave Ste BGonzales, LA 70737-2141 · Phone (225) 765-5500 · Fax (225) 647-2322
Location 27373 Perkins RdBaton Rouge, LA 70808-4326 · Phone (225) 246-9997
Location 37479 Perkins RdBaton Rouge, LA 70808 · Phone (225) 246-9997 · Fax (225) 246-9116

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

Clayton F Runfalo Md 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 ID9638473713
PECOS Enrollment IDI20160210001423
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Clayton Runfalo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake Urgent Care Ascension LLC
2.4 mi
Urgent Care
1702 N BURNSIDE AVE
Gonzales, LA 70737
  • Reassigned Medicare billing, Louisiana enrollment
  • 93 clinicians in this Medicare group
NPI 1477899656 (225) 647-4988
Ochsner Clinic LLC
6.9 mi
General Practice
16260 AIRLINE HWY STE A
Prairieville, LA 70769
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group
NPI 1487853453 (504) 842-3000
Convenient Care LLC
14 mi
Urgent Care
12525 PERKINS RD, SUITE B
Baton Rouge, LA 70810
  • Reassigned Medicare billing, Louisiana enrollment
  • 163 clinicians in this Medicare group
NPI 1164422630 (225) 819-8857

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

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
146 services94 patients

Hospital Affiliations CMS Care Compare 2

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190202
Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70737 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 3

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

DR. BRITTANY ALEXIS LANDRY MD
Pediatrics
2400 S BURNSIDE AVE
GONZALES, LA 70737
Ascension Parish (225) 761-5200
OCHSNER CLINIC, LLC
Internal Medicine
2400 S BURNSIDE AVE
GONZALES, LA 70737
Ascension Parish (225) 709-2410
DR. ERICKA THERESA FLOOD M.D.
Family Medicine
2400 S BURNSIDE AVE
GONZALES, LA 70737
Ascension Parish (225) 761-5211

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 Clayton Runfalo's NPI number?

The NPI number for Clayton Runfalo is 1477895225. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Clayton Runfalo located?

Clayton Runfalo practices at 2400 S Burnside Ave, Gonzales, LA 70737. The listed phone number is (225) 709-2410.

What is Clayton Runfalo's specialty?

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

Is Clayton Runfalo enrolled in Medicare?

Yes. Clayton Runfalo 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 Clayton Runfalo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Runfalo reassigns Medicare benefits to 3 organizations: Lake Urgent Care Ascension LLC (Gonzales, LA), Ochsner Clinic LLC (Prairieville, LA) and Convenient Care LLC (Baton Rouge, LA). 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 Clayton Runfalo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clayton Runfalo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Clayton Runfalo 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 Clayton Runfalo affiliated with any hospitals?

According to CMS data, Clayton Runfalo is affiliated with Ochsner Medical Center Acute and Ochsner Medical Center - Baton Rouge.

When was this NPI record last updated?

The NPPES record for Clayton Runfalo was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.