CLAY EUGENE STALCUP MD
NPI 1750389979
Family Medicine in Seymour, TN

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
11606 CHAPMAN HWY, STE 2, SEYMOUR, TN 37865(865) 609-6980(865) 609-6982 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clay Eugene Stalcup Md NPPES

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

CLAY EUGENE STALCUP MD (NPI 1750389979) is an individual family medicine provider in Seymour, Tennessee, licensed in Tennessee (MD38159) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2002).

NPPES Registry Identity

NPI1750389979
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCLAY EUGENE STALCUPCredential: MD
Location Address11606 CHAPMAN HWY, STE 2Seymour, TN 37865-5270
Mailing AddressPo Box 440014Nashville, TN 37244-0014 · (865) 670-6199 · Fax (865) 670-6198
Fax(865) 609-6982
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2002
Enumeration DateJuly 12, 2005
Last NPPES UpdateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
NPI 1750389979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · MD38159
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.
11606 CHAPMAN HWY, Seymour, TN 37865

Other Identifiers 1

Medicaid33279402TN

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

Clay Eugene Stalcup 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 ID8820041023
PECOS Enrollment IDI20050228001012
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 10

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.

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.
493 services197 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.
161 services112 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
136 services136 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
83 services14 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
77 services65 patients
Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month G2087
This treatment for opioid use disorder involves regular office visits for coordinated care, individual and group therapy. It aims to manage withdrawal symptoms, prevent relapse, and promote recovery. It's a 60-minute procedure, repeated monthly.
63 services12 patients

Hospital Affiliations CMS Care Compare 2

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Leconte Medical Center

Acute Care Hospitals · Sevierville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440081
Location742 Middlecreek RoadSevierville, TN 37862 · Sevier County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37865 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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
12 suppliers41 claims146 services$5.76 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims21 services$1.02 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers13 claims380 services$7.53 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$17.71 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$48.14 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$113.44 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 5

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

Nurse Practitioner (Family)
11606 CHAPMAN HWY, SUITE 3
SEYMOUR, TN 37865
Family Medicine
11606 CHAPMAN HWY, STE 2
SEYMOUR, TN 37865
Nurse Practitioner (Family)
11606 CHAPMAN HWY, STE 2
SEYMOUR, TN 37865
Family Medicine
11606 CHAPMAN HWY, STE 2
SEYMOUR, TN 37865
Family Medicine
11606 CHAPMAN HWY, STE 2
SEYMOUR, TN 37865

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 Clay Stalcup's NPI number?

The NPI number for Clay Stalcup is 1750389979. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Clay Stalcup located?

Clay Stalcup practices at 11606 Chapman Hwy Ste 2, Seymour, TN 37865. The listed phone number is (865) 609-6980.

What is Clay Stalcup's specialty?

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

Is Clay Stalcup enrolled in Medicare?

Yes. Clay Stalcup 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 Clay Stalcup accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Clay Stalcup 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 Clay Stalcup affiliated with any hospitals?

According to CMS data, Clay Stalcup is affiliated with University Health System, Inc and Leconte Medical Center.

When was this NPI record last updated?

The NPPES record for Clay Stalcup was last updated on October 27, 2021. 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.