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DR. SANDY KAY CLAYTON M.D.
NPI 1578827465
Emergency Medicine in Decorah, IA

Active since June 26, 2012PECOS Enrolled
901 MONTGOMERY ST., MEDICAL STAFF SERVICES, DECORAH, IA 52101(563) 382-2911(563) 382-4143 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2020, Aug 19, 2019, Aug 7, 2018 (3 updates tracked since 2018).

About Dr. Sandy Kay Clayton M.d. NPPES

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

DR. SANDY KAY CLAYTON M.D. (NPI 1578827465) is an individual emergency medicine provider in Decorah, Iowa, licensed in Iowa (MD-44860) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578827465
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. SANDY KAY CLAYTONCredential: M.D.
Location Address901 MONTGOMERY ST., MEDICAL STAFF SERVICESDecorah, IA 52101-2325
Mailing Address901 Montgomery St., Medical Staff ServicesDecorah, IA 52101-2325 · (563) 382-2911 · Fax (563) 382-4143
Phone(563) 382-2911
Fax(563) 382-4143
Sole ProprietorNo
Enumeration DateJune 26, 2012
Last NPPES UpdateOctober 13, 20203 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
✔ NPI 1578827465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IA · MD-44860✔ Licensed in MN · 66067✔ Licensed in GA · RTP005630
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
901 MONTGOMERY ST., Decorah, IA 52101
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Secondary Practice Locations 2

Location 11823 College AveManhattan, KS 66502-3381 · Phone (785) 776-2800 · Fax (785) 565-4754
Location 2701 Hewitt BlvdRed Wing, MN 55066-2848 · Phone (651) 267-5000

Other Identifiers 1

Medicaid1578827465IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sandy Kay Clayton M.d. 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.

Medicare Billing Reassignments

7

Medicare enrollment records show Sandy Clayton reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Winneshiek Medical Center
Same address
Nurse Anesthetist, Certified Registered
901 MONTGOMERY ST
Decorah, IA 52101
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1619922051 (Iowa)
  • 170 clinicians in this Medicare group
NPI 1023022803 (952) 442-9770
Mayo Clinic Health System-Southwest Wisconsin Region, Inc.
44 mi
Multi-Specialty
800 WEST AVE S
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1841278637 (Wisconsin)
  • 1,003 clinicians in this Medicare group
NPI 1629056049 (608) 392-3861
Mayo Clinic Health System-Southeast Minnesota Region
84 mi
Multi-Specialty
404 W FOUNTAIN ST
Albert Lea, MN 56007
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1063435410 (Minnesota)
  • 1,571 clinicians in this Medicare group
NPI 1891701637 (507) 373-2384
Mayo Clinic Health System-Lake City
84 mi
Critical Access
500 W GRANT ST
Lake City, MN 55041
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1164463659 (Minnesota)
  • 675 clinicians in this Medicare group
NPI 1538113022 (651) 345-3321
Mayo Clinic Health System-Southwest Minnesota Region
103 mi
Multi-Specialty
501 STATE ST N
Waseca, MN 56093
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1740256668 (Minnesota), NPI 1124035282 (Minnesota)
  • 1,572 clinicians in this Medicare group
NPI 1518494251 (507) 835-1210
Mayo Clinic Health System-Fairmont
137 mi
Multi-Specialty
800 MEDICAL CENTER DR
Fairmont, MN 56031
  • Reassigned Medicare billing, Minnesota enrollment
  • 806 clinicians in this Medicare group
NPI 1366410862 (507) 238-8100
Mayo Clinic Health System-St James
150 mi
Critical Access
1101 MOULTON AND PARSONS DR
Saint James, MN 56081
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1023177730 (Minnesota)
  • 390 clinicians in this Medicare group
NPI 1639198732 (507) 375-3261

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52101 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sandy Clayton's NPI number?

The NPI number for Sandy Clayton is 1578827465. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Sandy Clayton located?

Sandy Clayton practices at 901 Montgomery St. Medical Staff Services, Decorah, IA 52101. The listed phone number is (563) 382-2911.

What is Sandy Clayton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sandy Clayton enrolled in Medicare?

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

Which organizations bill Medicare for Sandy Clayton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandy Clayton reassigns Medicare benefits to 7 organizations: Winneshiek Medical Center (Decorah, IA), Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI), Mayo Clinic Health System-Southeast Minnesota Region (Albert Lea, MN), Mayo Clinic Health System-Lake City (Lake City, MN), Mayo Clinic Health System-Southwest Minnesota Region (Waseca, MN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandy Clayton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandy Clayton accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Sandy 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.

When was this NPI record last updated?

The NPPES record for Sandy Clayton was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.