KEITH A. CLIFTON M.D.
NPI 1659327278
Emergency Medicine in Corbin, KY

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
80.57/100
CMS Quality Rating
1 TRILLIUM WAY, CORBIN, KY 40701(606) 528-1212 Get Directions Write a Review

NPPES record last updated: July 23, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Keith A. Clifton M.d. NPPES

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

KEITH A. CLIFTON M.D. (NPI 1659327278) is an individual emergency medicine provider in Corbin, Kentucky, licensed in Kentucky (22186) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of Loma Linda University School Of Medicine (1981).

NPPES Registry Identity

NPI1659327278
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKEITH A. CLIFTONCredential: M.D.
Location Address1 TRILLIUM WAYCorbin, KY 40701-8426
Mailing Address1431 Centerpoint Blvd, Suite 100Knoxville, TN 37932-1984
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1981
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 23, 2007
✔ NPI 1659327278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in KY · 22186
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 TRILLIUM WAY, Corbin, KY 40701

Other Identifiers 4

Medicare ID-Type Unspecified0975525KY
Medicare PIN0975525KY
Medicaid64221864KY
Medicare UPINA97062

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

Keith A. Clifton 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 ID8921901489
PECOS Enrollment IDI20060323000028
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

4

Medicare enrollment records show Keith Clifton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
14 MOONBOW PLZ STE 2
Corbin, KY 40701
  • Reassigned Medicare billing, Kentucky enrollment
  • 6 clinicians in this Medicare group
General Practice
850 RIVERVIEW AVE
Pineville, KY 40977
  • Reassigned Medicare billing, Kentucky enrollment
  • 13 clinicians in this Medicare group
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 clinicians in this Medicare group
Emergency Medicine
229 SAINT JOHN LN
Covington, LA 70433
  • Reassigned Medicare billing, Kentucky enrollment
  • 16 clinicians in this Medicare group

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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
78 services76 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
70 services68 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Pineville Community Health Center, Inc

Acute Care Hospitals · Pineville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180154
Location850 Riverview AvenuePineville, KY 40977 · Bell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

80.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.28
Improvement Activities40
Cost20.38

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.

Psychiatry & Neurology (Psychiatry)
1 TRILLIUM WAY
CORBIN, KY 40701
Urology
1 TRILLIUM WAY, GROUND FLOOR ENTRANCE 5
CORBIN, KY 40701
Psychiatry & Neurology (Psychiatry)
1 TRILLIUM WAY
CORBIN, KY 40701
Pharmacist
1 TRILLIUM WAY
CORBIN, KY 40701
Nurse Anesthetist, Certified Registered
1 TRILLIUM WAY
CORBIN, KY 40701
Internal Medicine (Hematology & Oncology)
1 TRILLIUM WAY, BAPTIST HEALTH CANCER CENTER
CORBIN, KY 40701
Emergency Medicine
1 TRILLIUM WAY
CORBIN, KY 40701
Physician Assistant
1 TRILLIUM WAY
CORBIN, KY 40701

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 Keith Clifton's NPI number?

The NPI number for Keith Clifton is 1659327278. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Keith Clifton located?

Keith Clifton practices at 1 Trillium Way, Corbin, KY 40701. The listed phone number is (606) 528-1212.

What is Keith Clifton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Keith Clifton enrolled in Medicare?

Yes. Keith Clifton 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 Keith Clifton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Clifton reassigns Medicare benefits to 4 organizations: Taylor And Clifton Family Healthcare (Corbin, KY), Yalinie Medics LLC (Pineville, KY), Southeastern Emergency Physicians LLC (Maysville, KY) and Correct Care, Inc. (Covington, LA). 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 Keith Clifton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Keith Clifton affiliated with any hospitals?

According to CMS data, Keith Clifton is affiliated with Baptist Health Corbin and Pineville Community Health Center, Inc.

When was this NPI record last updated?

The NPPES record for Keith Clifton was last updated on July 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.