THERESA L CLAYTON MD
NPI 1619942265
Ophthalmology in Vancouver, WA

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
92.16/100
CMS Quality Rating
3200 MAIN STREET, VANCOUVER, WA 98663(360) 696-4691(360) 823-2260 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa L Clayton Md NPPES

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

THERESA L CLAYTON MD (NPI 1619942265) is an individual ophthalmology provider in Vancouver, Washington, licensed in Washington (MD00028710) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (1981).

NPPES Registry Identity

NPI1619942265
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameTHERESA L CLAYTONCredential: MD
Location Address3200 MAIN STREETVancouver, WA 98663
Mailing AddressPo Box 61896Vancouver, WA 98666-1896 · (360) 823-2012 · Fax (360) 823-2260
Fax(360) 823-2260
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1981
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJanuary 2, 2019
NPI 1619942265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in WA · MD00028710 Licensed in OR · MD14760
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3200 MAIN STREET, Vancouver, WA 98663

Other Identifiers 2

OtherMD00028710WA · License
Medicaid8134983WA

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

Theresa L 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 ID4688681075
PECOS Enrollment IDI20100319000645
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 12

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
375 services373 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.
254 services194 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
203 services194 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
186 services172 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
124 services63 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.
113 services102 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98663 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

92.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability84
Improvement Activities40
Cost87.23

Other Providers at the Same Location NPPES 2

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

Ophthalmology
3200 MAIN STREET
VANCOUVER, WA 98663
Ophthalmology
3200 MAIN STREET
VANCOUVER, WA 98663

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 Theresa Clayton's NPI number?

The NPI number for Theresa Clayton is 1619942265. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Theresa Clayton located?

Theresa Clayton practices at 3200 Main Street, Vancouver, WA 98663. The listed phone number is (360) 696-4691.

What is Theresa Clayton's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Theresa Clayton enrolled in Medicare?

Yes. Theresa 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 Theresa Clayton accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Theresa 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 Theresa Clayton was last updated on January 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.