1. Home
  2. Directory
  3. Florida
  4. Melbourne
  5. Obstetrics Gynecology
  6. NPI Profile

ESTHER ROSE CLAYTON MD
NPI 1568436277
Obstetrics & Gynecology - Gynecology in Melbourne, FL

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
410 N WICKHAM RD STE 201, MELBOURNE, FL 32935(321) 242-0035(321) 242-0075 Get Directions Write a Review

NPPES record last updated: July 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Esther Rose Clayton Md NPPES

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

ESTHER ROSE CLAYTON MD (NPI 1568436277) is an individual gynecology provider in Melbourne, Florida, licensed in Florida (ME0092133) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Viera Hospital, and is a graduate of Meharry Medical College School Of Medicine (1996).

NPPES Registry Identity

NPI1568436277
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameESTHER ROSE CLAYTONCredential: MD
Location Address410 N WICKHAM RD STE 201Melbourne, FL 32935-8648
Mailing Address410 N Wickham Rd Ste 201Melbourne, FL 32935-8648 · (321) 242-0035 · Fax (321) 242-0075
Phone(321) 242-0035
Fax(321) 242-0075
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 1996
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJuly 20, 2014
✔ NPI 1568436277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in FL · ME0092133
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
410 N WICKHAM RD STE 201, Melbourne, FL 32935
Open in Google Maps ↗

Other Identifiers 4

OtherP00370633Rail Road Medicare
Medicare UPINH54557
Medicare ID-Type Unspecified31667ZFL · Medicare
Medicaid274364700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Esther Rose Clayton 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 ID2264488147
PECOS Enrollment IDI20060215000631
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 9

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 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.
151 services82 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
108 services108 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
108 services108 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.
106 services79 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
42 services31 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Palm Bay Hospital

Acute Care Hospitals · Palm Bay, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100316
Location1425 Malabar Rd, NEPalm Bay, FL 32907 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32935 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
90%754 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
94%1,370 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
70%816 patients4/55-star benchmark: 85%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
87%1,985 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,624 patients
Patients tobacco: 62% · 206 patients
95%1,624 patients4/55-star benchmark: 98%
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

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

MELBOURNE GYNECOLOGY
Obstetrics & Gynecology (Gynecology)
410 N WICKHAM RD STE 201
MELBOURNE, FL 32935
Brevard County (321) 242-0035

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 Esther Clayton's NPI number?

The NPI number for Esther Clayton is 1568436277. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Esther Clayton located?

Esther Clayton practices at 410 N Wickham Rd Ste 201, Melbourne, FL 32935. The listed phone number is (321) 242-0035.

What is Esther Clayton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Esther Clayton enrolled in Medicare?

Yes. Esther Clayton 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 Esther Clayton accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Esther Clayton 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 Esther Clayton affiliated with any hospitals?

According to CMS data, Esther Clayton is affiliated with Viera Hospital and Palm Bay Hospital.

When was this NPI record last updated?

The NPPES record for Esther Clayton was last updated on July 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.