Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CLAYTON SPENCER DO
NPI 1689252470
Family Medicine in Caldwell, OH

Q: What is Clayton Spencer's NPI number?

The NPI number for Clayton Spencer is 1689252470. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Clayton Spencer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clayton Spencer was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment

304 MAIN ST, CALDWELL, OH 43724(740) 732-2339(740) 732-2350 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2026, Jun 23, 2025, Sep 17, 2024 and 3 more (6 updates tracked since 2021).

On this page

About Clayton Spencer Do NPPES

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

CLAYTON SPENCER DO (NPI 1689252470) is an individual family medicine provider in Caldwell, Ohio, licensed in Ohio (34.016197) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and maintains a secondary practice location in Sarahsville.

NPPES Registry Identity

NPI1689252470

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCLAYTON SPENCERCredential: DO

Location Address304 MAIN STCaldwell, OH 43724-1322

Mailing Address416 Colegate Dr Bldg 3Marietta, OH 45750-9549 · (740) 374-3526 · Fax (740) 374-3165

Phone(740) 732-2339

Fax(740) 732-2350

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 1, 2021

Last NPPES UpdateSeptember 14, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1689252470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 34.016197

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.

304 MAIN ST, Caldwell, OH 43724

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Secondary Practice Location 1

Location 149346 Seneca Lake Rd Unit 1Sarahsville, OH 43779-9757 · Phone (740) 373-3605 · Fax (740) 373-3517

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

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 Spencer 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 ID1456895333

PECOS Enrollment IDI20240702003484

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

Medicare enrollment records show Clayton Spencer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Selby General Hospital

Same address

Rural Health

304 MAIN ST
Caldwell, OH 43724

Reassigned Medicare billing, Ohio enrollment
Also billed through NPI 1124073465 (Ohio)
105 clinicians in this Medicare group

NPI 1568261972 (740) 374-4273

Marietta Memorial Hospital

21 mi

Rural Health

127 S MAIN ST
Woodsfield, OH 43793

Reassigned Medicare billing, Ohio enrollment
411 clinicians in this Medicare group

NPI 1962106328 (740) 472-1330

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 3

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.

93 services78 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

83 services67 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.

27 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Genesis Hospital

Acute Care Hospitals · Zanesville, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360039

Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County

Emergency services Birthing friendly

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360147

Location401 Matthew StreetMarietta, OH 45750 · Washington County

Emergency services Birthing friendly

Southeastern Ohio Regional Medical Center

Acute Care Hospitals · Cambridge, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360203

Location1341 North Clark StreetCambridge, OH 43725 · Guernsey County

Emergency services Birthing friendly

Selby General Hospital

Critical Access Hospitals · Marietta, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361319

Location1106 Colegate DriveMarietta, OH 45750 · Washington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43724 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 3

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

JOHN BIEDENBACH NP

Nurse Practitioner (Family)

304 MAIN ST
CALDWELL, OH 43724

Noble County (740) 732-2339

SELBY GENERAL HOSPITAL

Clinic/Center (Rural Health)

304 MAIN ST
CALDWELL, OH 43724

Noble County (740) 374-4273

LYNN LEE CNP

Nurse Practitioner (Primary Care)

304 MAIN ST
CALDWELL, OH 43724

Noble County (740) 732-2339

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 Spencer's NPI number?

The NPI number for Clayton Spencer is 1689252470. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Clayton Spencer located?

Clayton Spencer practices at 304 Main St, Caldwell, OH 43724. The listed phone number is (740) 732-2339.

What is Clayton Spencer's specialty?

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

Is Clayton Spencer enrolled in Medicare?

Yes. Clayton Spencer 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 Clayton Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Spencer reassigns Medicare benefits to 2 organizations: Selby General Hospital (Caldwell, OH) and Marietta Memorial Hospital (Woodsfield, OH). 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 Clayton Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clayton Spencer accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Clayton Spencer 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 Clayton Spencer affiliated with any hospitals?

According to CMS data, Clayton Spencer is affiliated with Genesis Hospital, Marietta Memorial Hospital, Southeastern Ohio Regional Medical Center and Selby General Hospital.

When was this NPI record last updated?

The NPPES record for Clayton Spencer was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.