CLAY OWEN THORNBURG NP
NPI 1710596424
Nurse Practitioner - Adult Health in Hannibal, MO

Q: What is Clay Thornburg's NPI number?

The NPI number for Clay Thornburg is 1710596424. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Q: What is Clay Thornburg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Clay Thornburg was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 28, 2020PECOS EnrolledAccepts Medicare Assignment

100 MEDICAL DR, HANNIBAL, MO 63401(573) 221-5250(573) 231-3713 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 25, 2022, Oct 4, 2021, Jul 28, 2020 (3 updates tracked since 2020).

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About Clay Owen Thornburg Np NPPES

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

CLAY OWEN THORNBURG NP (NPI 1710596424) is an individual adult health provider in Hannibal, Missouri, licensed in Missouri (2020023348) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and maintains a secondary practice location in Palmyra.

NPPES Registry Identity

NPI1710596424

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameCLAY OWEN THORNBURGCredential: NP

Location Address100 MEDICAL DRHannibal, MO 63401-6877

Mailing Address602 S Home StPalmyra, MO 63461-1747 · (573) 822-8530

Phone(573) 221-5250

Fax(573) 231-3713

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 28, 2020

Last NPPES UpdateJuly 25, 20223 updates tracked since enumeration

NPPES CertifiedJuly 25, 2022

✔ NPI 1710596424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MO · 2020023348

100 MEDICAL DR, Hannibal, MO 63401

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Secondary Practice Location 1

Location 1602 S Home StPalmyra, MO 63461-1747 · Phone (573) 822-8530 ext. 57382

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Clay Owen Thornburg Np 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 ID3274818455

PECOS Enrollment IDI20220325001979

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.

Hospital Affiliations CMS Care Compare 2

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140015

Location1005 Broadway StQuincy, IL 62301 · Adams County

Emergency services Birthing friendly

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260025

Location6000 Hospital DrHannibal, MO 63401 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63401 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 20

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

BLESSING HOSPITAL

Pharmacy (Community/Retail Pharmacy)