STEPHANIE ELISE CLAUS MD
NPI 1659673036
Family Medicine in Waco, TX

Active since November 17, 2010PECOS EnrolledAccepts Medicare Assignment
1800 GURLEY LANE, WACO, TX 76706(254) 313-6000(254) 313-4531 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Elise Claus Md NPPES

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

STEPHANIE ELISE CLAUS MD (NPI 1659673036) is an individual family medicine provider in Waco, Texas, licensed in Texas (N6841) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Hillcrest, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2008).

NPPES Registry Identity

NPI1659673036
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHANIE ELISE CLAUSCredential: MD
Location Address1800 GURLEY LANEWaco, TX 76706
Mailing Address1600 Providence DrWaco, TX 76707-2261 · (254) 313-4200 · Fax (254) 313-4326
Fax(254) 313-4531
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2008
Enumeration DateNovember 17, 2010
Last NPPES UpdateApril 29, 2013
NPI 1659673036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · N6841
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.
1800 GURLEY LANE, Waco, TX 76706

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

Stephanie Elise Claus 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 ID648454157
PECOS Enrollment IDI20110407000426
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 4

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
39 services20 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
21 services18 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
14 services12 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center Hillcrest

Acute Care Hospitals · Waco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450101
Location100 Hillcrest Medical BlvdWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76706 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers20 claims62 services$6.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers17 claims26 services$1.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
1800 GURLEY LANE
WACO, TX 76706
Dentist
1800 GURLEY LANE
WACO, TX 76706
Family Medicine
1800 GURLEY LANE
WACO, TX 76706
Dentist
1800 GURLEY LANE
WACO, TX 76706
Dentist
1800 GURLEY LANE
WACO, TX 76706
Nurse Practitioner (Family)
1800 GURLEY LANE
WACO, TX 76706

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 Stephanie Claus's NPI number?

The NPI number for Stephanie Claus is 1659673036. It was assigned to this individual provider in the NPPES registry on November 17, 2010.

Where is Stephanie Claus located?

Stephanie Claus practices at 1800 Gurley Lane, Waco, TX 76706. The listed phone number is (254) 313-6000.

What is Stephanie Claus's specialty?

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

Is Stephanie Claus enrolled in Medicare?

Yes. Stephanie Claus 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 Stephanie Claus accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Stephanie Claus 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.

Is Stephanie Claus affiliated with any hospitals?

According to CMS data, Stephanie Claus is affiliated with Baylor Scott & White Medical Center Hillcrest.

When was this NPI record last updated?

The NPPES record for Stephanie Claus was last updated on April 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.