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

Q: 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.

Q: What is Clay Pavlis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clay Pavlis was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment

4308 S ARWAY DR, SIOUX FALLS, SD 57106(605) 573-2000(605) 573-2002 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2024, Mar 6, 2019 (2 updates tracked since 2019).

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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 UpdateSeptember 26, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2024

✔ 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 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

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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 HealthPartners, Medica, Sanford Health Plan.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

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.

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)