MR. JOHN K CLAYSHULTE III PA-C
NPI 1700033156
Physician Assistant in Pueblo, CO

Active since August 27, 2008PECOS EnrolledAccepts Medicare Assignment
76.38/100
CMS Quality Rating
5700 N ELIZABETH ST, PUEBLO, CO 81008(719) 355-1585(719) 623-2983 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Feb 15, 2023, Aug 27, 2021 and 2 more (5 updates tracked since 2016).

About Mr. John K Clayshulte Iii Pa-c NPPES

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

MR. JOHN K CLAYSHULTE III PA-C (NPI 1700033156) is an individual physician assistant in Pueblo, Colorado, licensed in Colorado (PA.0008465) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1700033156
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHN K CLAYSHULTE IIICredential: PA-C
Location Address5700 N ELIZABETH STPueblo, CO 81008-2166
Mailing Address9348 Grand Cordera Pkwy Ste 160Colorado Springs, CO 80924-7023 · (719) 355-1585 · Fax (719) 623-2983
Fax(719) 623-2983
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 27, 2008
Last NPPES UpdateFebruary 3, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
NPI 1700033156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CO · PA.0008465 Licensed in WA · 60632876 Licensed in NM · PA2014-0058
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5700 N ELIZABETH ST, Pueblo, CO 81008

Secondary Practice Locations 2

Location 16215 Corporate Dr Ste 101Colorado Springs, CO 80919-1917 · Phone (719) 355-1585 · Fax (719) 623-2983
Location 2109 Latigo Ln Ste FCanon City, CO 81212-8113 · Phone (719) 355-1585 · Fax (719) 623-2983

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

Mr. John K Clayshulte Iii Pa-c 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 ID3678795994
PECOS Enrollment IDI20240418000669
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 14

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,437 services271 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.
428 services373 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
363 services333 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
184 services184 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
174 services167 patients
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.
129 services108 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81008 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

76.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.82
Promoting Interoperability72
Improvement Activities40
Cost60.8

Other Providers at the Same Location NPPES

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

Dermatology
5700 N ELIZABETH ST
PUEBLO, CO 81008

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 John Clayshulte's NPI number?

The NPI number for John Clayshulte is 1700033156. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Where is John Clayshulte located?

John Clayshulte practices at 5700 N Elizabeth St, Pueblo, CO 81008. The listed phone number is (719) 355-1585.

What is John Clayshulte's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Clayshulte enrolled in Medicare?

Yes. John Clayshulte 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.

When was this NPI record last updated?

The NPPES record for John Clayshulte was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.