MR. CLAYTON RICHARD PETERSON LCSW
NPI 1912662008
Social Worker - Clinical in Elkhorn, WI
About Mr. Clayton Richard Peterson Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CLAYTON RICHARD PETERSON LCSW (NPI 1912662008) is an individual clinical provider in Elkhorn, Wisconsin, licensed in Wisconsin (9722-123) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Clayton Richard Peterson Lcsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Clayton Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elkhorn, WI 53121
- Reassigned Medicare billing, Wisconsin enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ELKHORN, WI 53121
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 Peterson's NPI number?
The NPI number for Clayton Peterson is 1912662008. It was assigned to this individual provider in the NPPES registry on November 3, 2021.
Where is Clayton Peterson located?
Clayton Peterson practices at 1910 County Road Nn, Elkhorn, WI 53121. The listed phone number is (262) 741-3200.
What is Clayton Peterson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Clayton Peterson enrolled in Medicare?
Yes. Clayton Peterson 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.
Which organization bills Medicare for Clayton Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Peterson reassigns Medicare benefits to County Of Walworth (Elkhorn, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clayton Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clayton Peterson accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Quartz and UnitedHealthcare list Clayton Peterson 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 Clayton Peterson was last updated on January 5, 2024. 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.
# Mr. Clayton Richard Peterson, LCSW · NPI 1912662008
Clinical provider in Elkhorn, Wisconsin. Individual provider, active in the CMS NPPES registry since November 3, 2021.
## Identity
- **NPI:** 1912662008 (Entity type: Individual)
- **Enumerated:** November 3, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 9722-123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1910 COUNTY ROAD NN, Elkhorn, WI 53121-4454
- **Phone:** (262) 741-3200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** County Of Walworth (NPI 1588733307, Elkhorn, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912662008) · Data from the CMS NPPES public registry.