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CLAYTON DUGAN M.D.
NPI 1952721953
Pediatrics in Birmingham, AL

Active since April 17, 2014PECOS Enrolled
101 EAGLE RIDGE DR, BIRMINGHAM, AL 35242(205) 995-1004 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 3, 2017 (3 updates tracked since 2017).

About Clayton Dugan M.d. NPPES

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

CLAYTON DUGAN M.D. (NPI 1952721953) is an individual pediatrics provider in Birmingham, Alabama, licensed in Alabama (34503) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1952721953
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameCLAYTON DUGANCredential: M.D.
Location Address101 EAGLE RIDGE DRBirmingham, AL 35242-5319
Mailing Address5295 Preserve Pkwy Ste 100Hoover, AL 35244-4702 · (205) 987-4457
Phone(205) 995-1004
Sole ProprietorNo
Enumeration DateApril 17, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1952721953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AL · 34503
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 EAGLE RIDGE DR, Birmingham, AL 35242
Open in Google Maps ↗

Secondary Practice Location 1

Location 1625 19th St SBirmingham, AL 35233-1900 · Phone (205) 638-9589

Other Identifiers 1

Medicaid198400AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clayton Dugan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35242 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

APRIL ELIZABETH IRONS M.D.
Pediatrics
101 EAGLE RIDGE DR
BIRMINGHAM, AL 35242
Shelby County (205) 995-1004
VICTORIA SHAMBLIN ANDERSON M.D.
Pediatrics
101 EAGLE RIDGE DR
BIRMINGHAM, AL 35242
Shelby County (205) 995-1004
KELLY LYLES MCMILLIAN M.D.
Pediatrics
101 EAGLE RIDGE DR
BIRMINGHAM, AL 35242
Shelby County (205) 995-1004
DR. BARBARA R JOHNSON PH.D.
Psychologist (Clinical)
101 EAGLE RIDGE DR
BIRMINGHAM, AL 35242
Shelby County (205) 437-3530
JENNIFER JOSEPH
Pediatrics
101 EAGLE RIDGE DR
BIRMINGHAM, AL 35242
Shelby County (205) 995-1004

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 Dugan's NPI number?

The NPI number for Clayton Dugan is 1952721953. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Clayton Dugan located?

Clayton Dugan practices at 101 Eagle Ridge Dr, Birmingham, AL 35242. The listed phone number is (205) 995-1004.

What is Clayton Dugan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Clayton Dugan enrolled in Medicare?

Yes. Clayton Dugan is registered in the Medicare PECOS enrollment system.

What insurance does Clayton Dugan accept?

Health plans from Blue Cross and Blue Shield of Alabama list Clayton Dugan 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 Dugan was last updated on July 21, 2022. 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.