Deactivated NPI 1184706756 Deactivated / Inactive NPI Male Practitioner

Dr. Waverly B Clanton , MD

Internal Medicine • Chicago, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Waverly Clanton has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 20, 2006

NPI Deactivation Date November 06, 2025

Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Waverly Clanton, MD was a registered Internal Medicine practicing in Chicago, IL. Throughout an active medical career spanning 19 years, Dr. Clanton provided care at the practice location at 231 E 75TH ST until profile deactivation on 2025-11-06.

Historical Medicare Part B clinical services included established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

231 E 75th St

Chicago, IL 606192267

Telephone 7734874500

Fax 7734875010

Associated Practice Facility / Clinic

🏢 Terrold Butler Ltd Facility NPI 1740222082

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Chicago, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.8 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

2969 Specialists

Practicing in Chicago, IL (7544 Statewide)

Telehealth Adoption Rate

12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	311	140	$279.00	$127.77
36415 Insertion of needle into vein for collection of blood sample	106	87	$22.00	$8.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$332.00	$133.42
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	42	22	$66.52	$22.60
G0008 Administration of influenza virus vaccine	34	32	$60.00	$33.70
90662 Influenza vaccine split virus, preservative free	34	32	$125.00	$78.83
91322 Sarscov2 vac 50 mcg/0.5ml im	31	30	$250.00	$146.71
90480 Admn sarscov2 vacc 1 dose	31	30	$85.00	$42.04
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	15	$61.00	$13.94
G0180 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	12	11	$168.00	$45.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	326	144	$259.00	$131.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$316.00	$129.59
36415 Insertion of needle into vein for collection of blood sample	90	68	$22.00	$8.31
93793 Anticoagulant management of patient taking warfarin	66	11	$26.00	$11.90
G0008 Administration of influenza virus vaccine	41	40	$53.61	$31.53
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	40	24	$63.00	$23.65
90662 Influenza vaccine split virus, preservative free	35	35	$110.51	$67.72
G0009 Administration of pneumococcal vaccine	24	24	$45.21	$30.97
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$381.17	$266.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	13	$61.00	$13.62
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$82.00	$14.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	402	161	$235.00	$133.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	84	84	$316.00	$133.97
G0008 Administration of influenza virus vaccine	61	58	$41.00	$31.08
36415 Insertion of needle into vein for collection of blood sample	59	49	$22.00	$2.92
90662 Influenza vaccine split virus, preservative free	55	52	$73.00	$66.98
93793 Anticoagulant management of patient taking warfarin	49	12	$26.00	$11.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	25	$61.00	$12.62
G0009 Administration of pneumococcal vaccine	24	24	$41.00	$30.04
90670 Pneumococcal vaccine for injection into muscle	15	15	$318.00	$234.64
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$474.00	$132.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	362	158	$222.72	$136.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	68	68	$318.32	$136.91
G0008 Administration of influenza virus vaccine	37	36	$41.00	$17.93
90662 Influenza vaccine split virus, preservative free	36	35	$73.00	$61.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	11	$61.00	$9.39
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$153.00	$91.54
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$474.00	$178.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	271	153	$210.71	$112.02
99443 Telephone medical discussion with physician, 21-30 minutes	82	71	$146.00	$115.11
G0008 Administration of influenza virus vaccine	60	57	$41.00	$17.65
90662 Influenza vaccine split virus, preservative free	39	37	$69.26	$60.20
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	39	13	$63.00	$23.70
99442 Telephone medical discussion with physician, 11-20 minutes	24	24	$102.00	$76.41
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$37.00	$18.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	17	$61.00	$10.98
99441 Telephone medical discussion with physician, 5-10 minutes	14	12	$63.00	$48.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	396	167	$203.00	$113.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$316.00	$122.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	46	$61.00	$17.26
J1885 Injection, ketorolac tromethamine, per 15 mg	56	11	$3.00	$0.55
G0008 Administration of influenza virus vaccine	55	55	$41.00	$17.33
90662 Influenza vaccine split virus, preservative free	42	42	$68.71	$54.83
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	12	$61.89	$23.85
82962 Blood glucose (sugar) test performed by hand-held instrument	22	20	$22.00	$3.21
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	21	19	$7.00	$1.78
G0009 Administration of pneumococcal vaccine	20	20	$41.00	$17.33
J1040 Injection, methylprednisolone acetate, 80 mg	19	17	$21.00	$11.38
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$35.00	$18.65
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$136.00	$78.85
90670 Pneumococcal vaccine for injection into muscle	11	11	$318.00	$211.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	496	194	$194.75	$113.30
36415 Insertion of needle into vein for collection of blood sample	161	113	$14.84	$2.94
G0008 Administration of influenza virus vaccine	52	51	$41.00	$21.31
90662 Influenza vaccine split virus, preservative free	43	42	$63.02	$50.79
93000 Routine ekg using at least 12 leads including interpretation and report	27	27	$78.59	$18.16
77067 Screening mammography	22	22	$400.00	$103.18
82962 Blood glucose (sugar) test performed by hand-held instrument	21	18	$19.57	$3.21
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$132.50	$77.13
G0009 Administration of pneumococcal vaccine	18	18	$41.00	$21.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	16	$54.33	$21.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$228.00	$115.00
71046 X-ray of chest, 2 views	14	14	$42.00	$20.47
90670 Pneumococcal vaccine for injection into muscle	13	13	$318.00	$198.19
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$35.00	$16.99
77063 Screening digital tomography of both breasts	11	11	$100.00	$25.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	496	192	$183.87	$112.50
36415 Insertion of needle into vein for collection of blood sample	169	119	$13.00	$2.94
85610 Blood test, clotting time	111	11	$30.00	$5.28
G0009 Administration of pneumococcal vaccine	59	59	$41.00	$26.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$228.00	$119.63
G0008 Administration of influenza virus vaccine	57	55	$41.00	$26.42
90670 Pneumococcal vaccine for injection into muscle	54	54	$311.31	$188.37
90662 Influenza vaccine split virus, preservative free	46	44	$60.00	$47.65
J1885 Injection, ketorolac tromethamine, per 15 mg	42	11	$2.00	$0.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	33	$49.00	$25.30
82962 Blood glucose (sugar) test performed by hand-held instrument	29	21	$19.00	$3.15
99213 Established patient office or other outpatient visit, typically 15 minutes	27	22	$129.00	$77.10
93000 Routine ekg using at least 12 leads including interpretation and report	27	25	$78.00	$18.15
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	25	25	$400.00	$102.35
J1040 Injection, methylprednisolone acetate, 80 mg	19	14	$18.63	$9.33
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	19	13	$7.74	$2.80
71020 X-ray of chest, 2 views, front and side	17	15	$105.00	$18.01
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$345.00	$179.24
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$35.00	$18.65
77063 Screening digital tomography of both breasts	12	12	$100.00	$25.87

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036068032

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Terrold Butler , MD

Pediatrics

NPI 1003850124

Doctor of Medicine (M.D.)

Dr. Sheldon Ceaser , MD

Internal Medicine

NPI 1215098702

Doctor of Medicine (M.D.)

Dr. Jerome Lee , MD

Ophthalmology

NPI 1336241256

Doctor of Medicine (M.D.)

Dr. Neil Horsley , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1528094422

Doctor of Podiatric Medicine

Dr. Shamsu Raheem , DC

Chiropractor - Sports Physician

NPI 1821175399

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

⚠️

NPI Profile Deactivated November 06, 2025

Record deactivated on November 06, 2025

📍

Updated Practice Location April 20, 2022

Registered at 1357 W 103RD ST, CHICAGO, IL 606432392 (Tel: 7732380800)

✅

NPI Profile Active November 18, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2011

Registered at 231 E 75TH ST, CHICAGO, IL 606192267 (Tel: 7734874500)

📍

Updated Business Mailing Address November 18, 2011

Registered at 1357 W 103RD ST, CHICAGO, IL 606432392 (Tel: 7732380800)

👤

Provider Name / Credentials Updated November 18, 2011

Recorded as WAVERLY CLANTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2011

Internal Medicine (License #036068032 in IL)

🟢

Initial NPI Registration & Enumeration October 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184706756

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 20, 2006

Last Update: November 18, 2011

Deactivation Date: November 06, 2025

Update or Correct Profile

Mailing Address

1357 W 103rd St

Chicago, IL 606432392

Phone: 7732380800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.