DR. LAUREN CHILDERS CLAYTON MD
NPI 1568021954
Pediatrics in Greenville, SC

NPI Status: Active since June 10, 2019

Contact Information

3911 S HIGHWAY 14
GREENVILLE, SC
ZIP 29615
Phone: (864) 522-1340
Fax: (864) 241-9209

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  • Individual
  • Female
  • Pediatrics
  • PECOS Enrolled

About LAUREN CLAYTON

Lauren Clayton is a pediatrician established in Greenville, South Carolina and her medical specialization is Pediatrics. The healthcare provider is registered in the NPI registry with number 1568021954 assigned on June 2019. The practitioner's primary taxonomy code is 208000000X with license number 82506 (SC). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1568021954
Provider Name
DR. LAUREN CHILDERS CLAYTON MD
Gender
Female
Entity Type
Individual
Location Address
3911 S HIGHWAY 14 GREENVILLE, SC 29615
Location Phone
(864) 522-1340
Location Fax
(864) 241-9209
Mailing Address
300 E MCBEE AVE FL 4 GREENVILLE, SC 29601
Mailing Phone
(864) 522-8603
Is Sole Proprietor?
No
Enumeration Date
06-10-2019
Last Update Date
08-11-2022
Code Navigator

A pediatrician like Lauren Clayton is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
82506
License State
SC
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Absolute Total Care

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
    • Elite Bronze - HMO
    • Elite Bronze + Vision + Adult Dental - HMO
    • Elite Gold - HMO
    • Elite Gold + Vision + Adult Dental - HMO
  • Ambetter from Peach State Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Bronze - HMO
    • Clear Bronze + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
  • Ambetter of North Carolina

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Choice Bronze HSA with Atrium Health - HMO
    • Choice Bronze HSA with Atrium Health + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Clear Silver with Atrium Health - HMO
  • BlueCross BlueShield of South Carolina

    • Blue Reedy Bronze 1 - HMO
    • Blue Reedy Gold 1 - HMO
    • Blue Reedy HD Silver 3 - HMO
    • Blue Reedy Silver 1 - HMO
    • Blue Reedy Silver 2 - HMO
    • Blue Reedy Standard Expanded Bronze - HMO
    • Blue Reedy Standard Gold - HMO
    • Blue Reedy Standard Silver - HMO
    • Blue VirtuConnect Bronze 1 - EPO
    • Blue VirtuConnect Gold 1 - EPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
825067MEDICAID (05)SC 

PECOS Enrollment and Medicare Participation Status

Lauren Clayton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 29615 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.63
  • Minimum New Patient Price $55.43
  • Maximum New Patient Price $169.76
  • Average New Patient Copayment $21.4
  • Minimum New Patient Copayment $13.85
  • Maximum New Patient Copayment $42.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.16
  • Minimum Established Patient Price $17.06
  • Maximum Established Patient Price $138.69
  • Average Established Patient Copayment $24.79
  • Minimum Established Patient Copayment $4.26
  • Maximum Established Patient Copayment $34.67

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. LAUREN CHILDERS CLAYTON MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568021954
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128022910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 0 + 2 + 2 + 9 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1568021954 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275576357 EGBERT VERNON ANDERSON JR. M.D.
Individual
Pediatrics3911 S HIGHWAY 14
GREENVILLE, SC 29615
(864) 297-8890
1598709065 JAMES BROGDON NICHOLS JR. M.D.
Individual
Pediatrics3911 S HIGHWAY 14
GREENVILLE, SC 29615
(864) 297-8890
1114958949 PAMELA JEAN CANANT CHIVERS M.D.
Individual
Pediatrics3911 S HIGHWAY 14
GREENVILLE, SC 29615
(864) 297-8890

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568021954, enumerated in the NPI registry as an "individual" on June 10, 2019

The provider is located at 3911 S Highway 14 Greenville, Sc 29615 and the phone number is (864) 522-1340

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $85.63 with an average copayment of $21.4 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 10, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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