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DR. DANIELLE CLAFLIN DO
NPI 1861925638
Emergency Medicine in Mcminnville, TN

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
1559 SPARTA ST, MCMINNVILLE, TN 37110(931) 815-4000 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2020, Jul 15, 2019 (2 updates tracked since 2019).

About Dr. Danielle Claflin Do NPPES

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

DR. DANIELLE CLAFLIN DO (NPI 1861925638) is an individual emergency medicine provider in Mcminnville, Tennessee, licensed in Tennessee (3740) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Saint Thomas Rutherford Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1861925638
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. DANIELLE CLAFLINCredential: DO
Location Address1559 SPARTA STMcminnville, TN 37110-1316
Mailing Address5033 Lady Thatcher DrMurfreesboro, TN 37129-3830 · (303) 909-9500
Phone(931) 815-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateJune 24, 20202 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
✔ NPI 1861925638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TN · 3740
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1559 SPARTA ST, Mcminnville, TN 37110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Dr. Danielle Claflin Do 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 ID8628306800
PECOS Enrollment IDI20190826003537
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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
201 services184 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
201 services196 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
59 services59 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
27 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Thomas Rutherford Hospital

Acute Care Hospitals · Murfreesboro, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440053
Location1700 Medical Center ParkwayMurfreesboro, TN 37129 · Rutherford County
Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Dekalb Community Hospital

Acute Care Hospitals · Smithville, TN
OwnershipVoluntary non-profit - Church
CMS Certification Number440148
Location520 W Main StSmithville, TN 37166 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37110 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$7.80 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.

CHLOE OLIVIA NAGI
Student in an Organized Health Care Education/Training Program
1559 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (931) 815-4000
KEITH PHILLIP WEBB MD
Internal Medicine
1559 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (615) 396-5822
MISS VANDANA BOTTA
Internal Medicine
1559 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (931) 815-4000
LINDSEY DAWN BURTON MD
Emergency Medicine
1559 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (931) 815-4000
KATHLEEN HSIE
Internal Medicine
1559 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (615) 396-5822
NICHOLAS SCOTT ERHARD CRNA
Nurse Anesthetist, Certified Registered
1559 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (931) 815-4000
KENNETH L HOLBERT MD
Emergency Medicine
1559 SPARTA ST
MC MINNVILLE, TN 37110
Warren County (931) 815-4000
HALEY SMITH
Emergency Medicine
1559 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (931) 815-4000

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 Danielle Claflin's NPI number?

The NPI number for Danielle Claflin is 1861925638. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Danielle Claflin located?

Danielle Claflin practices at 1559 Sparta St, Mcminnville, TN 37110. The listed phone number is (931) 815-4000.

What is Danielle Claflin's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Danielle Claflin enrolled in Medicare?

Yes. Danielle Claflin 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 Danielle Claflin accept?

Health plans from Oscar Insurance Company list Danielle Claflin 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 Danielle Claflin affiliated with any hospitals?

According to CMS data, Danielle Claflin is affiliated with Saint Thomas Rutherford Hospital, Ascension Saint Thomas Hospital and Dekalb Community Hospital.

When was this NPI record last updated?

The NPPES record for Danielle Claflin was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.