ADRIAN CLAYTON
NPI 1902055734
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Hollidaysburg, PA

Active since September 17, 2008PECOS EnrolledAccepts Medicare Assignment
73.64/100
CMS Quality Rating
601 HAWTHORNE DR, SUITE 100, HOLLIDAYSBURG, PA 16648(814) 889-3600 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adrian Clayton NPPES

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

ADRIAN CLAYTON (NPI 1902055734) is an individual adult reconstructive orthopaedic surgery provider in Hollidaysburg, Pennsylvania, licensed in Pennsylvania (OS016414) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2008).

NPPES Registry Identity

NPI1902055734
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameADRIAN CLAYTON
Location Address601 HAWTHORNE DR, SUITE 100Hollidaysburg, PA 16648-2212
Mailing Address601 Hawthorne Dr, Suite 100Hollidaysburg, PA 16648-2212
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2008
Enumeration DateSeptember 17, 2008
Last NPPES UpdateMay 24, 2021
NPI 1902055734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in PA · OS016414
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
601 HAWTHORNE DR, Hollidaysburg, PA 16648

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

Adrian Clayton 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 ID9032330394
PECOS Enrollment IDI20141030000278
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 12

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 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.
309 services219 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
143 services69 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
74 services14 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.
47 services33 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
40 services40 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
38 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

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.

73.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.81
Promoting Interoperability100
Improvement Activities40
Cost42.34

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Surgery (Plastic and Reconstructive Surgery)
601 HAWTHORNE DR, SUITE 100
HOLLIDAYSBURG, PA 16648
Orthopaedic Surgery
601 HAWTHORNE DR, SUITE 100
HOLLIDAYSBURG, PA 16648
Physical Therapy Assistant
601 HAWTHORNE DR
HOLLIDAYSBURG, PA 16648
Surgery (Plastic and Reconstructive Surgery)
601 HAWTHORNE DR, SUITE 100
HOLLIDAYSBURG, PA 16648

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 Adrian Clayton's NPI number?

The NPI number for Adrian Clayton is 1902055734. It was assigned to this individual provider in the NPPES registry on September 17, 2008.

Where is Adrian Clayton located?

Adrian Clayton practices at 601 Hawthorne Dr Suite 100, Hollidaysburg, PA 16648. The listed phone number is (814) 889-3600.

What is Adrian Clayton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Adrian Clayton enrolled in Medicare?

Yes. Adrian Clayton 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.

Is Adrian Clayton affiliated with any hospitals?

According to CMS data, Adrian Clayton is affiliated with Upmc Altoona and Upmc Bedford Memorial.

When was this NPI record last updated?

The NPPES record for Adrian Clayton was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.