CLAYTON ALAN CARMODY M.D.
NPI 1548528573
Orthopaedic Surgery - Sports Medicine in Cincinnati, OH

Active since April 27, 2012PECOS EnrolledAccepts Medicare Assignment
7575 5 MILE RD, CINCINNATI, OH 45230(513) 347-9999(513) 232-2522 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2024, Nov 6, 2019, Sep 20, 2018 and 2 more (5 updates tracked since 2017).

About Clayton Alan Carmody M.d. NPPES

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

CLAYTON ALAN CARMODY M.D. (NPI 1548528573) is an individual sports medicine provider in Cincinnati, Ohio, licensed in Ohio (35134940) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and maintains a secondary practice location in Sylvania.

NPPES Registry Identity

NPI1548528573
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameCLAYTON ALAN CARMODYCredential: M.D.
Location Address7575 5 MILE RDCincinnati, OH 45230-4346
Mailing Address7575 5 Mile RdCincinnati, OH 45230-4346 · (513) 347-9999 · Fax (513) 232-2522
Fax(513) 232-2522
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 27, 2012
Last NPPES UpdateSeptember 4, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1548528573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in OH · 35134940
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License MD60763576 (WA)
7575 5 MILE RD, Cincinnati, OH 45230

Secondary Practice Location 1

Location 17640 Sylvania Ave Ste BSylvania, OH 43560 · Phone (419) 517-8178

Other Identifiers 3

OtherH648600OH · Medicare
Medicaid0313996OH
OtherH648601OH · Medicare

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

Clayton Alan Carmody 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 ID3476822081
PECOS Enrollment IDI20181213000733
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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
220 services28 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
103 services66 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
95 services69 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.
60 services49 patients
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.
41 services35 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.
34 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers15 claims15 services$22.19 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers11 claims11 services$7.07 avg. paid by Medicare
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier17 claims17 services$62.69 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier28 claims28 services$203.70 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.

Family Medicine
7575 5 MILE RD
CINCINNATI, OH 45230
Specialist/Technologist (Athletic Trainer)
7575 5 MILE RD
CINCINNATI, OH 45230
Durable Medical Equipment & Medical Supplies
7575 5 MILE RD
CINCINNATI, OH 45230
Physical Therapist
7575 5 MILE RD
CINCINNATI, OH 45230
Physical Therapist
7575 5 MILE RD
CINCINNATI, OH 45230
Specialist/Technologist (Athletic Trainer)
7575 5 MILE RD
CINCINNATI, OH 45230
Physical Therapist
7575 5 MILE RD
CINCINNATI, OH 45230
Physical Therapist
7575 5 MILE RD
CINCINNATI, OH 45230

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 Carmody's NPI number?

The NPI number for Clayton Carmody is 1548528573. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Clayton Carmody located?

Clayton Carmody practices at 7575 5 Mile Rd, Cincinnati, OH 45230. The listed phone number is (513) 347-9999.

What is Clayton Carmody's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Clayton Carmody enrolled in Medicare?

Yes. Clayton Carmody 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 Clayton Carmody accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 3 other insurers list Clayton Carmody 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 Carmody affiliated with any hospitals?

According to CMS data, Clayton Carmody is affiliated with Mercy Health-Anderson Hospital, The Jewish Hospital-Mercy Health, Mercy Health - Fairfield Hospital, Mercy Health - West Hospital and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Clayton Carmody was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.