DR. CLAY HAROLD PADGINTON DO
NPI 1487656062
Radiology - Diagnostic Radiology in Brownsville, TX

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
88.16/100
CMS Quality Rating
100B ALTON GLOOR, SUITE 250, BROWNSVILLE, TX 78526(956) 350-9507(956) 350-0513 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Clay Harold Padginton Do NPPES

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

DR. CLAY HAROLD PADGINTON DO (NPI 1487656062) is an individual diagnostic radiology provider in Brownsville, Texas, licensed in Texas (M2436) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1999).

NPPES Registry Identity

NPI1487656062
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. CLAY HAROLD PADGINTONCredential: DO
Location Address100B ALTON GLOOR, SUITE 250Brownsville, TX 78526-0000
Mailing Address100b Alton Gloor, Suite 250Brownsville, TX 78526-0000 · (956) 350-9507 · Fax (956) 350-0513
Fax(956) 350-0513
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1999
Enumeration DateAugust 12, 2005
Last NPPES UpdateFebruary 15, 2008
NPI 1487656062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in TX · M2436 Licensed in PA · OS012852
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License M2436 (TX)
100B ALTON GLOOR, Brownsville, TX 78526

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. Clay Harold Padginton 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 ID3476515420
PECOS Enrollment IDI20080407000341, I20250410001051, I20260529001774
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 31

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
577 services470 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
223 services207 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
97 services95 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
91 services91 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
61 services60 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
58 services57 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Valley Baptist Medical Center- Brownsville

Acute Care Hospitals · Brownsville, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450028
Location1040 W Jefferson StBrownsville, TX 78520 · Cameron County
Emergency services Birthing friendly

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78526 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

88.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.03
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
98%692 patients
Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy
0%75 patients1/55-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.

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 Clay Padginton's NPI number?

The NPI number for Clay Padginton is 1487656062. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Clay Padginton located?

Clay Padginton practices at 100B Alton Gloor Suite 250, Brownsville, TX 78526. The listed phone number is (956) 350-9507.

What is Clay Padginton's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Clay Padginton enrolled in Medicare?

Yes. Clay Padginton 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 Clay Padginton accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Clay Padginton 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 Clay Padginton affiliated with any hospitals?

According to CMS data, Clay Padginton is affiliated with Ascension St John Hospital, Valley Baptist Medical Center- Brownsville, Vhs Harlingen Hospital Company LLC and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Clay Padginton was last updated on February 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.