DR. KIMBERLY CLAWSON
NPI 1689818486
Plastic Surgery in Portage, MI

Active since April 23, 2009PECOS Enrolled
84.88/100
CMS Quality Rating
7901 S 12TH ST, PORTAGE, MI 49024(269) 372-3000 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 2, 2020, Sep 13, 2018, Aug 28, 2018 (3 updates tracked since 2018).

About Dr. Kimberly Clawson NPPES

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

DR. KIMBERLY CLAWSON (NPI 1689818486) is an individual plastic surgery provider in Portage, Michigan, licensed in Michigan (4301108963) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Marshfield.

NPPES Registry Identity

NPI1689818486
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameDR. KIMBERLY CLAWSON
Location Address7901 S 12TH STPortage, MI 49024
Mailing Address7901 S 12th StPortage, MI 49024-3831 · (269) 372-3000
Sole ProprietorNo
Enumeration DateApril 23, 2009
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1689818486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MI · 4301108963
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 6481420 (WI)
7901 S 12TH ST, Portage, MI 49024

Secondary Practice Location 1

Location 11000 N Oak AveMarshfield, WI 54449 · Phone (715) 387-5511

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Clawson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Kimberly Clawson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
Critical Access
408 HAZEN ST
Paw Paw, MI 49079
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1235131137 (Michigan)
  • 43 clinicians in this Medicare group
Internal Medicine
300 NORTH AVE
Battle Creek, MI 49017
  • Reassigned Medicare billing, Michigan enrollment
  • 557 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49024 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

Other Providers at the Same Location NPPES 10

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

Specialist
7901 S 12TH ST, SUITE 100
PORTAGE, MI 49024
Nurse Practitioner (Family)
7901 S 12TH ST
PORTAGE, MI 49024
Plastic Surgery
7901 S 12TH ST, SUITE 100
PORTAGE, MI 49024
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7901 S 12TH ST, SUITE 201
PORTAGE, MI 49024
Plastic Surgery
7901 S 12TH ST, SUITE 100
KALAMAZOO, MI 49024
Specialist
7901 S 12TH ST, SUITE 200
PORTAGE, MI 49024
Physical Medicine & Rehabilitation
7901 S 12TH ST, SUITE #200
PORTAGE, MI 49024
Physical Therapist
7901 S 12TH ST, SUITE #200
PORTAGE, MI 49024

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 Kimberly Clawson's NPI number?

The NPI number for Kimberly Clawson is 1689818486. It was assigned to this individual provider in the NPPES registry on April 23, 2009.

Where is Kimberly Clawson located?

Kimberly Clawson practices at 7901 S 12th St, Portage, MI 49024. The listed phone number is (269) 372-3000.

What is Kimberly Clawson's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Kimberly Clawson enrolled in Medicare?

Yes. Kimberly Clawson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Clawson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Clawson reassigns Medicare benefits to 3 organizations: Bronson Methodist Hospital (Kalamazoo, MI), Bronson Lakeview Hospital (Paw Paw, MI) and Bronson Battle Creek Hospital (Battle Creek, MI). 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 Kimberly Clawson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Clawson accept?

Health plans from Priority Health list Kimberly Clawson 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 Kimberly Clawson was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.