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TERESA MARIE CLAYTON
NPI 1972900926
Physician Assistant in Durham, NC

Active since November 19, 2014PECOS EnrolledAccepts Medicare Assignment
DUMC, BOX 3807, DURHAM, NC 27710(919) 681-6855 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Teresa Marie Clayton NPPES

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

TERESA MARIE CLAYTON (NPI 1972900926) is an individual physician assistant in Durham, North Carolina, licensed in North Carolina (0010-05328) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Duke University School Of Medicine (2014).

NPPES Registry Identity

NPI1972900926
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTERESA MARIE CLAYTON
Location AddressDUMC, BOX 3807Durham, NC 27710-0001
Mailing Address605 W Chapel Hill St, Apt 708Durham, NC 27701-3110 · (919) 423-3728
Phone(919) 681-6855
Sole ProprietorYes
Medical School CMSDuke University School Of MedicineGraduated 2014
Enumeration DateNovember 19, 2014
✔ NPI 1972900926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-05328
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
DUMC, Durham, NC 27710
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Teresa Marie 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 ID6608177688
PECOS Enrollment IDI20151216001290
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 8

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.
59 services55 patients
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.
45 services44 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
32 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
22 services19 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 9

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

DR. CHRISTOPHER ADAM KENEDI M.D., M.P.H.
Internal Medicine
DUMC, BOX 3837
DURHAM, NC 27710
Durham County (919) 684-8113
DR. MICHAEL J STIRLING M.D
Specialist
DUMC, BOX 2990
DURHAM, NC 27710
Durham County (919) 684-2620
DR. KEVIN MICHAEL WATT M.D.
Pediatrics (Pediatric Critical Care Medicine)
DUMC, 2301 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-8111
JEFFREY MELSON CLARKE MD
Student in an Organized Health Care Education/Training Program
DUMC, BOX 3951
DURHAM, NC 27710
Durham County (317) 670-7833
MICHELLE MARIE GREEN ANP-BC
Nurse Practitioner (Adult Health)
DUMC, BOX 6241
DURHAM, NC 27710
Durham County (919) 681-9985
XIAOYIN JIANG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
DUMC
DURHAM, NC 27710
Durham County (919) 684-2070
DR. SAUMIL MAHENDRA CHUDGAR MD
Internal Medicine
DUMC, BOX 31379
DURHAM, NC 27710
Durham County (919) 684-8111
DR. RACHEL E DEW M.D.
Psychiatry & Neurology (Psychiatry)
DUMC, BOX 3875
DURHAM, NC 27710
Durham County (919) 287-6307

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 Teresa Clayton's NPI number?

The NPI number for Teresa Clayton is 1972900926. It was assigned to this individual provider in the NPPES registry on November 19, 2014.

Where is Teresa Clayton located?

Teresa Clayton practices at Dumc Box 3807, Durham, NC 27710. The listed phone number is (919) 681-6855.

What is Teresa Clayton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Teresa Clayton enrolled in Medicare?

Yes. Teresa 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.

What insurance does Teresa Clayton accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Teresa Clayton 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 Teresa Clayton affiliated with any hospitals?

According to CMS data, Teresa Clayton is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Teresa Clayton was last updated on November 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.