CLAYTON ELLIS NELSON MD
NPI 1871854554
Orthopaedic Surgery - Hand Surgery in Oklahoma City, OK

Active since May 30, 2012PECOS EnrolledAccepts Medicare Assignment
85.7/100
CMS Quality Rating
1110 N LEE AVE STE 200, OKLAHOMA CITY, OK 73103(405) 218-2530(405) 218-2535 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2023, Jul 21, 2022, Nov 21, 2018 and 4 more (7 updates tracked since 2015).

About Clayton Ellis Nelson Md NPPES

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

CLAYTON ELLIS NELSON MD (NPI 1871854554) is an individual hand surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (29279) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of University Of Oklahoma College Of Medicine (2007).

NPPES Registry Identity

NPI1871854554
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameCLAYTON ELLIS NELSONCredential: MD
Location Address1110 N LEE AVE STE 200Oklahoma City, OK 73103-2612
Mailing Address1110 N Lee Ave Ste 200Oklahoma City, OK 73103-2612 · (405) 218-2530 · Fax (405) 218-2535
Fax(405) 218-2535
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2007
Enumeration DateMay 30, 2012
Last NPPES UpdateJune 16, 20237 updates tracked since enumeration
NPPES CertifiedJune 16, 2023
NPI 1871854554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
Licenses Licensed in OK · 29279 Licensed in PA · MD461592
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD461592 (PA)
1110 N LEE AVE STE 200, Oklahoma City, OK 73103

Other Identifiers 1

Medicaid200445900AOK

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

Clayton Ellis Nelson 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 ID1759681299
PECOS Enrollment IDI20160425000133
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 22

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.
192 services150 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
176 services125 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
160 services88 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
150 services76 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
137 services137 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.
131 services102 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370047
Location1011 14th Ave NWArdmore, OK 73401 · Carter County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73103 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
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.

85.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.33
Promoting Interoperability100
Improvement Activities40
Cost62.01

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.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers36 claims37 services$44.56 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 7

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

Durable Medical Equipment & Medical Supplies
1110 N LEE AVE STE 200
OKLAHOMA CITY, OK 73103
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1110 N LEE AVE STE 200
OKLAHOMA CITY, OK 73103
Orthopaedic Surgery (Foot and Ankle Surgery)
1110 N LEE AVE STE 200
OKLAHOMA CITY, OK 73103
Family Medicine (Sports Medicine)
1110 N LEE AVE STE 200
OKLAHOMA CITY, OK 73103
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1110 N LEE AVE STE 200
OKLAHOMA CITY, OK 73103
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1110 N LEE AVE STE 200
OKLAHOMA CITY, OK 73103
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1110 N LEE AVE STE 200
OKLAHOMA CITY, OK 73103

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 Clayton Nelson's NPI number?

The NPI number for Clayton Nelson is 1871854554. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Clayton Nelson located?

Clayton Nelson practices at 1110 N Lee Ave Ste 200, Oklahoma City, OK 73103. The listed phone number is (405) 218-2530.

What is Clayton Nelson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Clayton Nelson enrolled in Medicare?

Yes. Clayton Nelson 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 Clayton Nelson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Clayton Nelson 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 Clayton Nelson affiliated with any hospitals?

According to CMS data, Clayton Nelson is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, Mercy Hospital Ardmore, Inc and Ssm Health St Anthony Hospital - Shawnee.

When was this NPI record last updated?

The NPPES record for Clayton Nelson was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.