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DR. CLAYTON T FORD MD
NPI 1689960650
Family Medicine in Harrisburg, IL

Active since June 28, 2011PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
716 S COMMERCIAL ST, HARRISBURG, IL 62946(618) 273-3361 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 21, 2022, Jan 7, 2022 (2 updates tracked since 2022).

About Dr. Clayton T Ford Md NPPES

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

DR. CLAYTON T FORD MD (NPI 1689960650) is an individual family medicine provider in Harrisburg, Illinois, licensed in Illinois (036134206) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Illinois Medical College (2011).

NPPES Registry Identity

NPI1689960650
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CLAYTON T FORDCredential: MD
Location Address716 S COMMERCIAL STHarrisburg, IL 62946-2346
Mailing Address1201 Pine StEldorado, IL 62930-1634 · (618) 273-3361 · Fax (618) 273-2504
Phone(618) 273-3361
Sole ProprietorNo
Medical School CMSIllinois Medical CollegeGraduated 2011
Enumeration DateJune 28, 2011
Last NPPES UpdateFebruary 20, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1689960650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036134206✔ Licensed in IN · 11016194A
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.
716 S COMMERCIAL ST, Harrisburg, IL 62946
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Clayton T Ford 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 ID8224283452
PECOS Enrollment IDI20140625001397
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

2

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

Ferrell Hospital Community Foundation
Same address
Rural Health
716 S COMMERCIAL ST
Harrisburg, IL 62946
  • Reassigned Medicare billing, Illinois enrollment
  • 74 clinicians in this Medicare group
NPI 1184202392 (618) 294-8241
Southern Illinois Medical Services, Nfp
36 mi
Internal Medicine
1239 E MAIN ST
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 702 clinicians in this Medicare group
NPI 1770656837 (618) 457-5200

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 2

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
31 services28 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.
16 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140210
Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County
Emergency services

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62946 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 21

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
17 suppliers49 claims143 services$5.91 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers17 claims33 services$1.07 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers23 claims23 services$44.50 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers25 claims25 services$113.88 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers26 claims42 services$43.18 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$63.73 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 4

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

FERRELL HOSPITAL COMMUNITY FOUNDATION
Clinic/Center (Rural Health)
716 S COMMERCIAL ST
HARRISBURG, IL 62946
Saline County (618) 294-8241
AMY MARIE QUERTERMOUS APN-BC
Nurse Practitioner
716 S COMMERCIAL ST
HARRISBURG, IL 62946
Saline County (618) 294-8241
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Nurse Practitioner
716 S COMMERCIAL ST
HARRISBURG, IL 62946
Saline County (618) 918-6060
DR. JACOB STEWART MD
Family Medicine
716 S COMMERCIAL ST
HARRISBURG, IL 62946
Saline County (618) 294-8241

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 Ford's NPI number?

The NPI number for Clayton Ford is 1689960650. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is Clayton Ford located?

Clayton Ford practices at 716 S Commercial St, Harrisburg, IL 62946. The listed phone number is (618) 273-3361.

What is Clayton Ford's specialty?

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

Is Clayton Ford enrolled in Medicare?

Yes. Clayton Ford 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 Ford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Ford reassigns Medicare benefits to 2 organizations: Ferrell Hospital Community Foundation (Harrisburg, IL) and Southern Illinois Medical Services, Nfp (Carbondale, IL). 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 Ford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clayton Ford accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Clayton Ford 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 Ford affiliated with any hospitals?

According to CMS data, Clayton Ford is affiliated with Herrin Hospital, Heartland Regional Medical Center, Harrisburg Medical Center, Northwestern Medicine Central Dupage Hospital and Ferrell Hospital Community Foundations.

When was this NPI record last updated?

The NPPES record for Clayton Ford was last updated on February 20, 2024. 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.