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CLAYTON THOMAS ROLAND DO
NPI 1639856289
Family Medicine in Springfield, IL

Active since July 04, 2023PECOS EnrolledAccepts Medicare Assignment
520 N 4TH ST, SPRINGFIELD, IL 62702(217) 545-8000(217) 757-8161 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2026, Jul 4, 2023 (2 updates tracked since 2023).

About Clayton Thomas Roland Do NPPES

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

CLAYTON THOMAS ROLAND DO (NPI 1639856289) is an individual family medicine provider in Springfield, Illinois, licensed in Illinois (125083003) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains a secondary practice location in Pana.

NPPES Registry Identity

NPI1639856289
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCLAYTON THOMAS ROLANDCredential: DO
Location Address520 N 4TH STSpringfield, IL 62702-5238
Mailing AddressPo Box 19670Springfield, IL 62794-9670
Phone(217) 545-8000
Fax(217) 757-8161
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2023
Enumeration DateJuly 4, 2023
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1639856289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125083003
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
520 N 4TH ST, Springfield, IL 62702
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Secondary Practice Location 1

Location 1217 S Locust StPana, IL 62557-1689 · Phone (217) 561-2143

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

Clayton Thomas Roland Do 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 ID3375903743
PECOS Enrollment IDI20260828003950
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 Reassignment

Medicare enrollment records show Clayton Roland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pana Community Hospital Association
37 mi
Family Medicine
118 N WALNUT ST
Assumption, IL 62510
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1942326970 (Illinois)
  • 98 clinicians in this Medicare group
NPI 1487843959 (217) 226-3133

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

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 20

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

MRS. AMANDA B HENSON LCSW
Social Worker (Clinical)
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. BASAR CENIK M.D.
Psychiatry & Neurology (Psychiatry)
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. HARI IYENGAR MD
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 757-8100
DR. JOSEPH DOUGLAS WRIGHT DO
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 757-8197
HELEN L MOOSE CNM-MS
Advanced Practice Midwife
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
JANET R ALBERS M.D.
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ANNETTE REESE
Community Health Worker
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
AMBER GUYTON
Advanced Practice Midwife
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Clayton Roland's NPI number?

The NPI number for Clayton Roland is 1639856289. It was assigned to this individual provider in the NPPES registry on July 4, 2023.

Where is Clayton Roland located?

Clayton Roland practices at 520 N 4th St, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Clayton Roland's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Clayton Roland enrolled in Medicare?

Yes. Clayton Roland 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 organization bills Medicare for Clayton Roland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Roland reassigns Medicare benefits to Pana Community Hospital Association (Assumption, IL). The 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 Clayton Roland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Clayton Roland affiliated with any hospitals?

According to CMS data, Clayton Roland is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Clayton Roland was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.