JOHN D CLAYTON D.O.
NPI 1609841691
Surgery in New Albany, IN

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
2125 STATE ST STE 3, NEW ALBANY, IN 47150(812) 949-5575(812) 949-5595 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2024, Dec 11, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About John D Clayton D.o. NPPES

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

JOHN D CLAYTON D.O. (NPI 1609841691) is an individual surgery provider in New Albany, Indiana, licensed in Indiana (02001159) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Reid Health, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1985).

NPPES Registry Identity

NPI1609841691
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOHN D CLAYTONCredential: D.O.
Location Address2125 STATE ST STE 3New Albany, IN 47150-4972
Mailing Address5200 Commerce Crossing, 3rd FloorLouisville, KY 40229 · (502) 253-4924 · Fax (502) 489-5750
Fax(812) 949-5595
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1985
Enumeration DateFebruary 22, 2006
Last NPPES UpdateFebruary 5, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
NPI 1609841691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IN · 02001159
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2125 STATE ST STE 3, New Albany, IN 47150

Other Identifiers 3

Other020043317IN · Railroad Medicare
OtherIN1189122IN · In Medicare
Medicaid100383020IN

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

John D Clayton D.o. 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 ID7810075157
PECOS Enrollment IDI20080428000007
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 5

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
12 services12 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
11 services11 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.
11 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Reid Health

Acute Care Hospitals · Richmond, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150048
Location1100 Reid PkwyRichmond, IN 47374 · Wayne County
Emergency services Birthing friendly

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150115
Location800 W 9th StJasper, IN 47546 · Dubois County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47150 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers11 claims220 services$2.61 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 6

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

Surgery
2125 STATE ST STE 3
NEW ALBANY, IN 47150
Surgery
2125 STATE ST STE 3
NEW ALBANY, IN 47150
Surgery
2125 STATE ST STE 3
NEW ALBANY, IN 47150
Physician Assistant
2125 STATE ST STE 3
NEW ALBANY, IN 47150
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2125 STATE ST STE 3
NEW ALBANY, IN 47150
Colon & Rectal Surgery
2125 STATE ST STE 3
NEW ALBANY, IN 47150

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 John Clayton's NPI number?

The NPI number for John Clayton is 1609841691. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is John Clayton located?

John Clayton practices at 2125 State St Ste 3, New Albany, IN 47150. The listed phone number is (812) 949-5575.

What is John Clayton's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Clayton enrolled in Medicare?

Yes. John 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 John Clayton accept?

Health plans from CareSource list John 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 John Clayton affiliated with any hospitals?

According to CMS data, John Clayton is affiliated with Reid Health and Memorial Hospital And Health Care Center.

When was this NPI record last updated?

The NPPES record for John Clayton was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.