KEVIN J CLAYTON D.O
NPI 1528053188
Internal Medicine - Cardiovascular Disease in Traverse City, MI

Active since September 20, 2005PECOS Enrolled
1200 SIXTH ST, SUITE 200, TRAVERSE CITY, MI 49684(231) 935-5800(231) 935-5799 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin J Clayton D.o NPPES

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

KEVIN J CLAYTON D.O (NPI 1528053188) is an individual cardiovascular disease provider in Traverse City, Michigan, licensed in Michigan (5101010007) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528053188
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameKEVIN J CLAYTONCredential: D.O
Location Address1200 SIXTH ST, SUITE 200Traverse City, MI 49684-2369
Mailing Address2891 Momentum PlaceChicago, IL 60689-5328 · (231) 935-5800 · Fax (231) 935-5799
Fax(231) 935-5799
Sole ProprietorNo
Enumeration DateSeptember 20, 2005
Last NPPES UpdateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
NPI 1528053188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MI · 5101010007
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1200 SIXTH ST, Traverse City, MI 49684

Other Identifiers 1

Medicaid2995924MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kevin J Clayton D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%740 patients5/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
96%633 patients4/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
76%122 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,272 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%1,572 patients4/55-star benchmark: 100%
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…
93%499 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%120 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
37%923 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%923 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
19%923 patients2/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 1,444 patients
3%1,444 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.

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.

Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Nurse Practitioner (Women's Health)
1200 SIXTH ST, STE 400
TRAVERSE CITY, MI 49684
Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Midwife
1200 SIXTH ST, STE 400
TRAVERSE CITY, MI 49684
Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Internal Medicine (Interventional Cardiology)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684

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 Kevin Clayton's NPI number?

The NPI number for Kevin Clayton is 1528053188. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Kevin Clayton located?

Kevin Clayton practices at 1200 Sixth St Suite 200, Traverse City, MI 49684. The listed phone number is (231) 935-5800.

What is Kevin Clayton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kevin Clayton enrolled in Medicare?

Yes. Kevin Clayton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Clayton was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.