DR. RICHARD M CLOUSE MD
NPI 1720078355
Family Medicine in Glasgow, KY

Q: What is Richard Clouse's NPI number?

The NPI number for Richard Clouse is 1720078355. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Q: What is Richard Clouse'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 Richard Clouse was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment

87.62/100

CMS Quality Rating

109 HOMEWOOD BLVD, GLASGOW, KY 42141(270) 651-6126 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2025, Mar 1, 2023, Feb 21, 2023 and 1 more (4 updates tracked since 2021).

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About Dr. Richard M Clouse Md NPPES

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

DR. RICHARD M CLOUSE MD (NPI 1720078355) is an individual family medicine provider in Glasgow, Kentucky, licensed in Kentucky (26157) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720078355

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RICHARD M CLOUSECredential: MD

Location Address109 HOMEWOOD BLVDGlasgow, KY 42141-3468

Mailing Address2717 E Oakland AveJohnson City, TN 37601-1843 · (423) 926-2358 · Fax (423) 926-2680

Phone(270) 651-6126

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1987

Enumeration DateOctober 25, 2005

Last NPPES UpdateNovember 11, 20254 updates tracked since enumeration

NPPES CertifiedNovember 11, 2025

✔ NPI 1720078355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 26157

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.

109 HOMEWOOD BLVD, Glasgow, KY 42141

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Secondary Practice Locations 2

Location 1310 N L Rogers Wells BlvdGlasgow, KY 42141-1300 · Phone (270) 651-1111 · Fax (270) 659-5850

Location 21325 N Race StGlasgow, KY 42141-3427 · Phone (270) 651-4797 · Fax (270) 651-4818

Other Identifiers 1

Medicaid64012693KY

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

Dr. Richard M Clouse 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 ID9638069941

PECOS Enrollment IDI20040319000041

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 8

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

231 services79 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.

215 services88 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

204 services74 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.

74 services67 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

31 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services19 patients

Hospital Affiliations CMS Care Compare

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

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180017

Location1301 North Race StreetGlasgow, KY 42141 · Barren County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42141 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

87.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Cost

47.2

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

1 supplier12 claims480 services$3.07 avg. paid by Medicare

Adhesive, liquid or equal, any type, per oz A4364

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims11 services$2.84 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each A4373

DME-Orthotic Devices · category DF010N

1 supplier12 claims360 services$5.29 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

2 suppliers14 claims520 services$4.73 avg. paid by Medicare

Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each A4424

DME-Orthotic Devices · category DF010N

1 supplier12 claims480 services$4.60 avg. paid by Medicare

Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each A4433

DME-Orthotic Devices · category DF010N

1 supplier12 claims360 services$2.97 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 20

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

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