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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CLAY JOSEPH PAVLIS M.D.
NPI 1629018445
Psychiatry & Neurology - Psychiatry in Sioux Falls, SD

Active since June 08, 2006PECOS Enrolled
4308 S ARWAY DR, SIOUX FALLS, SD 57106(605) 573-2000(605) 573-2002 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 27, 2026, Sep 26, 2024, Mar 6, 2019 (3 updates tracked since 2019).

About Dr. Clay Joseph Pavlis M.d. NPPES

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

DR. CLAY JOSEPH PAVLIS M.D. (NPI 1629018445) is an individual psychiatry provider in Sioux Falls, South Dakota, licensed in Minnesota (47358) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Minnesota Medical School (2000).

NPPES Registry Identity

NPI1629018445
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. CLAY JOSEPH PAVLISCredential: M.D.
Location Address4308 S ARWAY DRSioux Falls, SD 57106-3131
Mailing Address809 W Pipestone Ave Ste 8Flandreau, SD 57028 · (507) 337-0556 · Fax (507) 337-0567
Phone(605) 573-2000
Fax(605) 573-2002
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2000
Enumeration DateJune 8, 2006
Last NPPES UpdateOctober 27, 20263 updates tracked since enumeration
NPPES CertifiedOctober 27, 2026
✔ NPI 1629018445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in MN · 47358✔ Licensed in TN · 247537✔ Licensed in SD · 7035
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4308 S ARWAY DR, Sioux Falls, SD 57106
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11901 Manhattan BlvdHarvey, LA 70058-3582 · Phone (605) 573-2000
Location 2317 E Capitol St Ste 200Jackson, MS 39201-3405 · Phone (605) 573-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of North Dakota, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Clay Joseph Pavlis M.d. 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 ID5092757161
PECOS Enrollment IDI20061215000067, I20070806000592, I20241122003375, I20260114000109
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

8

Medicare enrollment records show Clay Pavlis reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Wellness Institute, PLLC
Same address
Mental Health (Including Community Mental Health Center)
4308 S ARWAY DR
Sioux Falls, SD 57106
  • Reassigned Medicare billing, South Dakota enrollment
  • 8 clinicians in this Medicare group
NPI 1851729552 (507) 337-0556
Turnwell Mental Health Of South Dakota, PC
Same address
Psychiatry
4308 S ARWAY DR
Sioux Falls, SD 57106
  • Reassigned Medicare billing, Iowa, Louisiana, North Dakota, Nebraska and South Dakota enrollments
  • 16 clinicians in this Medicare group
NPI 1720850183 (605) 573-2000
City Of Sioux Falls
3.3 mi
Federally Qualified Health Center (FQHC)
521 N MAIN AVE, SUITE 100
Sioux Falls, SD 57104
  • Reassigned Medicare billing, South Dakota enrollment
  • 41 clinicians in this Medicare group
NPI 1932295888 (605) 367-8793
Western Mental Health Center, Inc.
82 mi
Mental Health
1212 E COLLEGE DR
Marshall, MN 56258
  • Reassigned Medicare billing, Minnesota enrollment
  • 47 clinicians in this Medicare group
NPI 1982613311 (507) 532-3607
Windom Area Hospital
87 mi
Hospitalist
2150 HOSPITAL DR
Windom, MN 56101
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1841288644 (Minnesota)
  • 39 clinicians in this Medicare group
NPI 1043014079 (507) 831-2400
Community Counseling Service
93 mi
Mental Health
357 KANSAS AVE SE
Huron, SD 57350
  • Reassigned Medicare billing, South Dakota enrollment
  • 15 clinicians in this Medicare group
NPI 1932167277 (605) 352-8596
Human Service Agency
98 mi
Addiction (Substance Use Disorder)
123 19TH ST NE
Watertown, SD 57201
  • Reassigned Medicare billing, South Dakota enrollment
  • 14 clinicians in this Medicare group
NPI 1720074644 (605) 886-0123
Ccm Health
112 mi
Urgent Care
824 N 11TH ST
Montevideo, MN 56265
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1720086028 (Minnesota)
  • 149 clinicians in this Medicare group
NPI 1275057978 (320) 269-8877

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

Areas of Expertise CMS Part B claims

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.
21 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57106 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
$167.23 typical visit price
range $55.52 – $167.23
Typical copayment $41.80 (range $13.88 – $41.80)
Most-billed visit code 99205
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
Percentage of patients aged 18 years and older with a diagnosis of major depressive disorder (MDD) with a suicide risk assessment completed during the visit in which a new diagnosis or recurrent episode was identified
90%49 patients4/55-star benchmark: 99%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 97% · 61 patients
Patients 4MonthsOfStart: 100% · 58 patients
100%80 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
28%607 patients1/55-star benchmark: 100%
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…
86%262 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: 93% · 240 patients
Patients tobacco: 80% · 239 patients
62%82 patients3/55-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 13

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

MEGHAN GRACE CORR RN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
4308 S ARWAY DR
SIOUX FALLS, SD 57106
Minnehaha County (605) 573-2000
TRENT UTHE MSW, ACT
Social Worker
4308 S ARWAY DR
SIOUX FALLS, SD 57106
Minnehaha County (605) 573-2000
DIANA CRISTINA CRUZ
Counselor (Mental Health)
4308 S ARWAY DR
SIOUX FALLS, SD 57106
Minnehaha County (605) 573-2000
LACEE FELTMAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4308 S ARWAY DR
SIOUX FALLS, SD 57106
Minnehaha County (605) 573-2000
MEGAN GRACE DERENGE
Nurse Practitioner (Psychiatric/Mental Health)
4308 S ARWAY DR
SIOUX FALLS, SD 57106
Minnehaha County (605) 573-2000
MRS. BRITNEY OHRLUND DNP, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4308 S ARWAY DR
SIOUX FALLS, SD 57106
Minnehaha County (605) 573-2000
CIERRA EBBESEN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4308 S ARWAY DR
SIOUX FALLS, SD 57106
Minnehaha County (605) 573-2000
ADRIAN BRYAN JONES CNP
Nurse Practitioner (Psychiatric/Mental Health)
4308 S ARWAY DR
SIOUX FALLS, SD 57106
Minnehaha County (605) 573-2000

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 Clay Pavlis's NPI number?

The NPI number for Clay Pavlis is 1629018445. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Clay Pavlis located?

Clay Pavlis practices at 4308 S Arway Dr, Sioux Falls, SD 57106. The listed phone number is (605) 573-2000.

What is Clay Pavlis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Clay Pavlis enrolled in Medicare?

Yes. Clay Pavlis 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.

Which organizations bill Medicare for Clay Pavlis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clay Pavlis reassigns Medicare benefits to 8 organizations: Midwest Wellness Institute, PLLC (Sioux Falls, SD), Turnwell Mental Health Of South Dakota, PC (Sioux Falls, SD), City Of Sioux Falls (Sioux Falls, SD), Western Mental Health Center, Inc. (Marshall, MN), Windom Area Hospital (Windom, MN) and 3 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 Clay Pavlis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clay Pavlis accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, HMO Louisiana, HealthPartners and Oscar Health and 5 other insurers list Clay Pavlis 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 Clay Pavlis was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.