KATHRYN J CLAGG NP
NPI 1740060078
Nurse Practitioner - Psychiatric/Mental Health in Gallipolis, OH

Active since October 04, 2023PECOS EnrolledAccepts Medicare Assignment
936 STATE ROUTE 160, GALLIPOLIS, OH 45631(740) 446-4600 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2023, Oct 4, 2023 (2 updates tracked since 2023).

About Kathryn J Clagg Np NPPES

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

KATHRYN J CLAGG NP (NPI 1740060078) is an individual psychiatric/mental health provider in Gallipolis, Ohio, licensed in Ohio (APRN.CNP.0035068) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1740060078
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHRYN J CLAGGCredential: NP
Location Address936 STATE ROUTE 160Gallipolis, OH 45631-8243
Mailing AddressPo Box 390Huntington, WV 25708-0390 · (304) 429-1088 · Fax (304) 429-3109
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 4, 2023
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
NPI 1740060078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · APRN.CNP.0035068
936 STATE ROUTE 160, Gallipolis, OH 45631

Secondary Practice Locations 3

Location 1705 Washington StRavenswood, WV 26164-1729 · Phone (304) 868-6000
Location 22180 2nd StMason, WV 25260 · Phone (304) 773-3135
Location 3216 Market StSpencer, WV 25276-1300 · Phone (304) 927-7775

Other Identifiers 2

Other117747WV · Wv License
OtherAPRN.CNP.0035068OH · Aprn License

Accepted 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

Kathryn J Clagg 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 ID840646873
PECOS Enrollment IDI20231027001878, I20231219000031
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 5

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 moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
329 services125 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
110 services58 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.
67 services35 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
23 services14 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 10

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

Nurse Practitioner (Family)
936 STATE ROUTE 160
GALLIPOLIS, OH 45631
Clinic/Center (Federally Qualified Health Center (FQHC))
936 STATE ROUTE 160
GALLIPOLIS, OH 45631
Nurse Practitioner (Family)
936 STATE ROUTE 160
GALLIPOLIS, OH 45631
Clinic/Center (Multi-Specialty)
936 STATE ROUTE 160
GALLIPOLIS, OH 45631
Family Medicine
936 STATE ROUTE 160
GALLIPOLIS, OH 45631
Counselor (Addiction (Substance Use Disorder))
936 STATE ROUTE 160
GALLIPOLIS, OH 45631
Clinic/Center (Federally Qualified Health Center (FQHC))
936 STATE ROUTE 160
GALLIPOLIS, OH 45631
Nurse Practitioner (Family)
936 STATE ROUTE 160
GALLIPOLIS, OH 45631

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 Kathryn Clagg's NPI number?

The NPI number for Kathryn Clagg is 1740060078. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Where is Kathryn Clagg located?

Kathryn Clagg practices at 936 State Route 160, Gallipolis, OH 45631. The listed phone number is (740) 446-4600.

What is Kathryn Clagg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kathryn Clagg enrolled in Medicare?

Yes. Kathryn Clagg 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.

What insurance does Kathryn Clagg accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia, MedMutual and Molina Healthcare and 3 other insurers list Kathryn Clagg 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 Kathryn Clagg was last updated on December 12, 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.