DR. CLAY MATTHEW BARBIN M.D.
NPI 1659715696
Internal Medicine - Interventional Cardiology in Waco, TX

Active since April 22, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7125 NEW SANGER AVE STE A, WACO, TX 76712(254) 399-5430 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2026, Nov 24, 2025, Sep 9, 2024 and 4 more (7 updates tracked since 2017).

About Dr. Clay Matthew Barbin M.d. NPPES

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

DR. CLAY MATTHEW BARBIN M.D. (NPI 1659715696) is an individual interventional cardiology provider in Waco, Texas, licensed in Texas (R2051) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of University Of Texas Medical Branch At Galveston (2013).

NPPES Registry Identity

NPI1659715696
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. CLAY MATTHEW BARBINCredential: M.D.
Location Address7125 NEW SANGER AVE STE AWaco, TX 76712-4054
Mailing AddressPo Box 21327Waco, TX 76702-1327 · (254) 399-5400
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2013
Enumeration DateApril 22, 2013
Last NPPES UpdateMarch 3, 20267 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
NPI 1659715696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in TX · R2051
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License R2051 (TX)
7125 NEW SANGER AVE STE A, Waco, TX 76712

Other Identifiers 1

Medicaid3747685-02TX

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

Dr. Clay Matthew Barbin 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 ID3971873472
PECOS Enrollment IDI20170717000748
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 37

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.
1,237 services930 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
765 services697 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
620 services212 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
344 services86 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
267 services30 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
260 services233 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

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

Freestone Medical Center

Acute Care Hospitals · Fairfield, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450658
Location125 Newman StFairfield, TX 75840 · Freestone County
Emergency services

Goodall Witcher Hospital

Critical Access Hospitals · Clifton, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451385
Location101 Posey AvenueClifton, TX 76634 · Bosque County
Emergency services Birthing friendly

Hamilton General Hospital

Critical Access Hospitals · Hamilton, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451392
Location400 N Brown, Building 1Hamilton, TX 76531 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Internal Medicine (Clinical Cardiac Electrophysiology)
7125 NEW SANGER AVE STE A
WACO, TX 76712
Nurse Practitioner (Family)
7125 NEW SANGER AVE STE A
WACO, TX 76712
Internal Medicine (Clinical Cardiac Electrophysiology)
7125 NEW SANGER AVE STE A
WACO, TX 76712
Nurse Practitioner (Family)
7125 NEW SANGER AVE STE A
WACO, TX 76712
Internal Medicine (Cardiovascular Disease)
7125 NEW SANGER AVE STE A
WACO, TX 76712
Internal Medicine (Interventional Cardiology)
7125 NEW SANGER AVE STE A
WACO, TX 76712
Physician Assistant
7125 NEW SANGER AVE STE A
WACO, TX 76712
Internal Medicine (Cardiovascular Disease)
7125 NEW SANGER AVE STE A
WACO, TX 76712

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 Barbin's NPI number?

The NPI number for Clay Barbin is 1659715696. It was assigned to this individual provider in the NPPES registry on April 22, 2013.

Where is Clay Barbin located?

Clay Barbin practices at 7125 New Sanger Ave Ste A, Waco, TX 76712. The listed phone number is (254) 399-5430.

What is Clay Barbin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Clay Barbin enrolled in Medicare?

Yes. Clay Barbin 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 Clay Barbin 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 2 other insurers list Clay Barbin 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 Clay Barbin affiliated with any hospitals?

According to CMS data, Clay Barbin is affiliated with Ascension Providence, Baylor Scott & White Medical Center Hillcrest, Freestone Medical Center, Goodall Witcher Hospital and Hamilton General Hospital.

When was this NPI record last updated?

The NPPES record for Clay Barbin was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.