Active NPI 1740204395 Individual Practitioner Male Practitioner

Dr. Scott W Clitheroe , MD

Hospitalist • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Scott Clitheroe, MD is a registered healthcare professional specializing in Hospitalist in Austin, TX. Practice services are available at 11211 TAYLOR DRAPER LN under active NPI credentials.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management, more than, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11211 Taylor Draper Ln
Ste 202

Austin, TX 787593916

Telephone 5126749021

Fax 5123429949

Associated Practice Facility / Clinic

🏢 Behavioral Health Consultants Facility NPI 1245275155

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Austin, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.9 Yrs

State Avg: 19.2 Yrs

Regional Practice Density

48 Specialists

Practicing in Austin, TX (1587 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	216	214	$598.20	$167.80
99239 Hospital discharge day management, more than 30 minutes	195	193	$321.25	$111.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	180	95	$216.10	$77.58
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	180	108	$308.54	$115.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$419.53	$126.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	11	$120.97	$47.91
99238 Hospital discharge day management, 30 minutes or less	15	15	$216.66	$79.39
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	14	$50.00	$7.97

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	350	121	$214.32	$69.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	195	111	$308.16	$98.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	142	141	$597.24	$191.23
99239 Hospital discharge day management, more than 30 minutes	123	123	$319.29	$102.38
99220 Hospital observation care, typically 70 minutes	89	89	$541.95	$172.73
99217 Hospital observation care on day of discharge	82	82	$216.66	$69.19
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	28	28	$50.00	$7.99
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	22	20	$50.00	$8.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$674.31	$212.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$511.29	$151.30

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	201	98	$179.59	$70.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	161	83	$257.62	$101.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	108	105	$491.00	$196.31
99239 Hospital discharge day management, more than 30 minutes	97	94	$256.25	$104.24
99220 Hospital observation care, typically 70 minutes	80	80	$458.49	$178.02
99217 Hospital observation care on day of discharge	79	78	$204.40	$70.76
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	11	$50.00	$8.27

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	295	127	$168.99	$69.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	208	107	$242.00	$99.94
99239 Hospital discharge day management, more than 30 minutes	150	148	$249.00	$102.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	150	147	$459.00	$194.50
99220 Hospital observation care, typically 70 minutes	57	57	$439.23	$171.95
99217 Hospital observation care on day of discharge	50	49	$200.52	$68.15
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	30	30	$50.00	$8.26
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	29	27	$50.00	$8.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$372.00	$159.63
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$60.00	$16.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$390.33	$125.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$467.00	$201.94

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	467	204	$168.99	$71.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	224	223	$459.00	$198.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	165	95	$242.00	$103.07
99239 Hospital discharge day management, more than 30 minutes	160	159	$249.00	$105.61
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	107	107	$50.00	$8.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$372.00	$163.79
99220 Hospital observation care, typically 70 minutes	51	51	$439.23	$179.44
99217 Hospital observation care on day of discharge	39	39	$200.52	$70.56
99238 Hospital discharge day management, 30 minutes or less	39	39	$173.00	$72.31
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	39	35	$50.00	$8.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	18	$103.47	$39.05
99225 Subsequent observation care, typically 25 minutes per day	20	15	$146.85	$65.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$242.00	$103.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$326.00	$145.43

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	441	210	$169.16	$72.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	273	266	$459.00	$201.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	171	105	$242.00	$103.83
99239 Hospital discharge day management, more than 30 minutes	121	119	$249.00	$107.59
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	94	94	$50.00	$8.46
99238 Hospital discharge day management, 30 minutes or less	87	85	$173.00	$73.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$372.00	$164.32
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	46	43	$50.00	$8.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	22	$103.47	$39.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$326.00	$145.34
99220 Hospital observation care, typically 70 minutes	21	21	$439.23	$185.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$342.51	$117.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$326.00	$110.87

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	296	188	$168.99	$69.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	275	149	$242.00	$100.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	271	263	$459.00	$194.09
99239 Hospital discharge day management, more than 30 minutes	125	124	$249.00	$103.72
99238 Hospital discharge day management, 30 minutes or less	122	121	$173.00	$69.89
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	66	65	$50.00	$8.18
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	52	44	$50.00	$8.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$372.00	$154.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$326.00	$139.48
99220 Hospital observation care, typically 70 minutes	20	20	$439.23	$179.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$371.63	$131.40

Medical Specialties & State Licenses

CMS Verified: 2022-02-04

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License TX J4048

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License TX J4048

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Retired Railroad Medicare

110171906

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Janet Bates , MD

Family Medicine

NPI 1295745982

Doctor of Medicine (M.D.)

Dr. Edward Sherwood , MD

Internal Medicine - Infectious Disease

NPI 1992719066

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 13, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 13, 2013

Registered at 11211 TAYLOR DRAPER LN, STE 202, AUSTIN, TX 787593916 (Tel: 5126749021)

📍

Updated Business Mailing Address November 13, 2013

Registered at 9708 RAINLILLY LN, AUSTIN, TX 787597701 (Tel: 5126586018)

👤

Provider Name / Credentials Updated November 13, 2013

Recorded as SCOTT CLITHEROE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2013

Internal Medicine (License #J4048 in TX)

🟢

Initial NPI Registration & Enumeration July 27, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740204395

Entity Type:

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

Enumeration Date: July 27, 2006

Last Update: February 04, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9708 Rainlilly Ln

Austin, TX 787597701

Phone: 5126586018

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.