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DR. CLAYTON JOHN SONTHEIMER M.D.
NPI 1679736649
Pediatrics - Pediatric Rheumatology in Seattle, WA

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
4800 SAND POINT WAY NE, MAIL STOP R-5420, SEATTLE, WA 98105(314) 974-6773 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Clayton John Sontheimer M.d. NPPES

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

DR. CLAYTON JOHN SONTHEIMER M.D. (NPI 1679736649) is an individual pediatric rheumatology provider in Seattle, Washington, licensed in Washington (60207732) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2008).

NPPES Registry Identity

NPI1679736649
Entity TypeIndividualMale
Primary Taxonomy2080P0216X
Provider Legal NameDR. CLAYTON JOHN SONTHEIMERCredential: M.D.
Location Address4800 SAND POINT WAY NE, MAIL STOP R-5420Seattle, WA 98105
Mailing Address4800 Sand Point Way Ne, Mail Stop R-5420Seattle, WA 98105-3901 · (314) 974-6773
Phone(314) 974-6773
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2008
Enumeration DateJuly 9, 2008
Last NPPES UpdateMay 23, 2018
✔ NPI 1679736649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in WA · 60207732
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedPediatricsTaxonomy 208000000X · License 60207732 (WA)
4800 SAND POINT WAY NE, Seattle, WA 98105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence 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. Clayton John Sontheimer 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 ID840419479
PECOS Enrollment IDI20190212003067
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 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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

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.

NALINI MALARKKAN MD
Anesthesiology
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2728
MS. LINDA E EBLEN MA
Speech-Language Pathologist
4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105
King County (206) 987-6164
DR. JAMES TOLIVER BENNETT JR. M.D., PH.D.
Medical Genetics (Clinical Molecular Genetics)
4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105
King County (206) 987-2056
DR. LESLIE ANN DERVAN MD
Pediatrics (Pediatric Critical Care Medicine)
4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105
King County (206) 987-0293
DR. INDI TREHAN MD
Pediatrics (Pediatric Infectious Diseases)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2000
MS. JENNIFER PATANO CNP
Nurse Practitioner (Pediatrics)
4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105
King County (206) 987-8949
MRS. SUSAN L HOLTZCLAW ARNP
Nurse Practitioner (Family)
4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105
King County (206) 987-5691
SHENG ZHOU MD
Otolaryngology (Pediatric Otolaryngology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2105

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 Sontheimer's NPI number?

The NPI number for Clayton Sontheimer is 1679736649. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Clayton Sontheimer located?

Clayton Sontheimer practices at 4800 Sand Point Way NE Mail Stop R-5420, Seattle, WA 98105. The listed phone number is (314) 974-6773.

What is Clayton Sontheimer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Clayton Sontheimer enrolled in Medicare?

Yes. Clayton Sontheimer 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 Clayton Sontheimer accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Clayton Sontheimer 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.

When was this NPI record last updated?

The NPPES record for Clayton Sontheimer was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.