Active NPI 1609841691 Individual Practitioner Male Practitioner

Dr. John D Clayton , DO

Surgery • New Albany, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Clayton, DO is a certified Surgery practicing in New Albany, IN. With approximately 41 years of clinical experience since graduating from Des Moines University Of Osteopathic Medicine And Health Sciences in 1985, Dr. Clayton delivers high-quality medical care to the local community at 2125 STATE ST STE 3.

Dr. Clayton maintains professional affiliations with Deaconess Specialty Physicians, Inc, Reid Physician Associates Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2125 State St Ste 3

New Albany, IN 471504972

Telephone 8129495575

Fax 8129495595

Medicare Profile & Education

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in New Albany, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +18.8 yrs vs City Avg

City Avg: 22.2 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

8 Specialists

Practicing in New Albany, IN (657 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clayton (41 Years) 41 Yrs

New Albany Specialty Average (22.2 Years) 22.2 Yrs

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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$215.17	$112.80
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$773.00	$194.39
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$1174.00	$117.81
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$173.64	$91.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$310.27	$132.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	33	$137.00	$84.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	21	$82.69	$52.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$310.00	$159.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	86	66	$137.00	$86.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$310.00	$160.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	40	$139.00	$68.90
99221 Initial hospital inpatient care per day, typically 30 minutes	37	36	$194.00	$95.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$202.00	$103.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	30	$82.00	$52.74
47562 Removal of gallbladder using an endoscope	20	20	$1425.00	$619.48
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$505.00	$113.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$262.00	$129.97
43450 Dilation of esophagus	17	17	$175.00	$37.85
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$140.00	$69.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$202.00	$101.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	39	$82.00	$43.09
99213 Established patient office or other outpatient visit, typically 15 minutes	61	51	$137.00	$70.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	32	$139.00	$70.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	36	$262.00	$133.44
47562 Removal of gallbladder using an endoscope	17	17	$1357.94	$595.71
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$140.00	$69.45
49650 Repair of groin hernia using an endoscope	13	13	$1066.15	$472.64
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$194.00	$98.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$202.00	$102.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	43	$82.00	$40.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	36	$139.62	$69.72
99213 Established patient office or other outpatient visit, typically 15 minutes	59	51	$137.00	$69.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$262.44	$130.85
47562 Removal of gallbladder using an endoscope	30	30	$1425.60	$574.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$391.00	$185.48
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$140.00	$72.07
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$505.00	$118.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$202.74	$99.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	39	$140.00	$69.14
99213 Established patient office or other outpatient visit, typically 15 minutes	60	55	$136.28	$67.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	50	$81.22	$40.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	45	$391.00	$192.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	31	$265.00	$129.51
47562 Removal of gallbladder using an endoscope	21	21	$1426.00	$600.61
49650 Repair of groin hernia using an endoscope	17	16	$976.24	$395.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$310.36	$154.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	117	60	$140.00	$68.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$203.00	$101.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	71	$81.00	$40.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	68	67	$391.00	$192.81
99213 Established patient office or other outpatient visit, typically 15 minutes	63	58	$136.00	$66.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	52	$265.00	$130.08
47562 Removal of gallbladder using an endoscope	37	37	$1426.00	$611.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$311.00	$154.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	14	$201.00	$99.40
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$37.00	$18.17
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$777.00	$321.62
49650 Repair of groin hernia using an endoscope	12	12	$960.42	$397.89
44120 Partial removal of small bowel	12	12	$2668.00	$992.67
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$979.17	$244.83
19125 Removal of breast growth, open procedure	11	11	$983.00	$385.11

Medical Specialties & State Licenses

CMS Verified: 2024-02-05

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 02001159

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100383020 (IN)

Commercial Insurance / Payer ID Railroad Medicare

020043317 (IN)

Commercial Insurance / Payer ID In Medicare

IN1189122 (IN)

Hospital & Practice Group Affiliations

Reid Physician Associates Inc

1050 Reid Pkwy, Richmond, IN 473741156

Phone: 7659626053

Deaconess Specialty Physicians, Inc

721 W 13th St, Jasper, IN 475461855

Phone: 8129965671

Secondary Practice Locations

300 Ne 14th St

Washington, IN 475012137

Phone: 8122544808

300 Ne 14th St

Washington, IN 475012137

Phone: 8122544808

9515 Holy Cross Ln Ste 175

Breese, IL 622303618

Phone: 6185268430

12860 Troxler Ave Ste 120

Highland, IL 622492898

Phone: 6186649831

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Thomas Noel , MD

Surgery

NPI 1205369147

Doctor of Medicine (M.D.)

Dr. Jordan Brown , MD

Surgery

NPI 1265708150

Doctor of Medicine (M.D.)

Dr. John Mccormick , MD

Surgery

NPI 1427494046

Doctor of Medicine (M.D.)

Cheryl Hoffman , APRN

Nurse Practitioner - Family

NPI 1447131388

Advanced Practice Registered Nurse

Pamela Jump , APRN

Nurse Practitioner

NPI 1447501333

Advanced Practice Registered Nurse

Raven Thomas , PA

Physician Assistant

NPI 1487465571

Physician Assistant

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address December 11, 2020

Registered at 5200 COMMERCE CROSSING, 3RD FLOOR, LOUISVILLE, KY 40229 (Tel: 5022534924)

✅

NPI Profile Active October 17, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2017

Registered at 2125 STATE ST STE 3, NEW ALBANY, IN 471504972 (Tel: 8129495575)

📍

Updated Business Mailing Address October 17, 2017

Registered at PO BOX 950248, LOUISVILLE, KY 402950248 (Tel: 8129495482)

👤

Provider Name / Credentials Updated October 17, 2017

Recorded as JOHN CLAYTON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2017

Surgery (License #02001159 in IN)

✅

NPI Profile Active August 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 12, 2016

Registered at 300 NE 14TH ST, WASHINGTON, IN 475012137 (Tel: 8122544808)

📍

Updated Business Mailing Address August 12, 2016

Registered at PO BOX 760, WASHINGTON, IN 475010760 (Tel: 8122542760)

👤

Provider Name / Credentials Updated August 12, 2016

Recorded as JOHN CLAYTON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2016

Surgery (License #02001159 in IN)

🟢

Initial NPI Registration & Enumeration February 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1609841691

Entity Type:

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

Enumeration Date: February 22, 2006

Last Update: February 05, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5200 Commerce Crossing, 3rd Floor

Louisville, KY 40229

Phone: 5022534924

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.