Active NPI 1316027410 Individual Practitioner Female Practitioner

Dr. Heather Marie Clawges , MD

Pediatrics • Ronceverte, WV

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Heather Clawges, MD is a certified Pediatrics practicing in Ronceverte, WV. With approximately 26 years of clinical experience since graduating from West Virginia University School Of Medicine in 2000, Dr. Clawges delivers high-quality medical care to the local community at 1322 MAPLEWOOD AVE.

Dr. Clawges maintains professional affiliations with West Virginia University Medical Corporation, Camc Greenbrier Valley Medical Center Inc and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, sleep study in sleep lab with continuous airway pressure (6 years or older), sleep monitoring of patient (6 years or older) in sleep lab. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1322 Maplewood Ave

Ronceverte, WV 249708016

Telephone 3046476559

Fax 3047932270

Associated Practice Facility / Clinic

🏢 Greenbrier Physicians, Inc Facility NPI 1982770244

Medicare Profile & Education

Medical School

West Virginia University School Of Medicine

Graduation Year

2000

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Ronceverte, WV

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -2.5 yrs vs City Avg

City Avg: 28.5 Yrs

State Avg: 24.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Ronceverte, WV (294 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

75.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clawges (26 Years) 26 Yrs

Ronceverte Specialty Average (28.5 Years) 28.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	178	147	$180.28	$62.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	102	$69.00	$33.30
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	101	97	$478.00	$113.82
95810 Sleep monitoring of patient (6 years or older) in sleep lab	98	97	$490.20	$109.81
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	70	70	$214.13	$51.32
99213 Established patient office or other outpatient visit, typically 15 minutes	34	27	$168.29	$80.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$230.00	$77.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$69.00	$49.70
95810 Sleep monitoring of patient (6 years or older) in sleep lab	18	17	$1168.00	$162.38
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	17	16	$729.06	$134.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$256.57	$91.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$230.00	$86.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	26	$69.00	$33.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	517	320	$186.85	$84.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$431.00	$156.69
95810 Sleep monitoring of patient (6 years or older) in sleep lab	106	105	$446.00	$115.85
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	95	93	$478.00	$116.55
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	33	33	$220.64	$47.24
95810 Sleep monitoring of patient (6 years or older) in sleep lab	25	25	$1627.04	$492.54
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	22	22	$268.55	$47.96
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	21	21	$1541.48	$439.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	440	283	$186.91	$85.61
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	118	116	$478.00	$120.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$431.00	$160.92
95810 Sleep monitoring of patient (6 years or older) in sleep lab	117	117	$446.00	$115.25
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	36	36	$217.00	$74.50
95810 Sleep monitoring of patient (6 years or older) in sleep lab	28	27	$1695.86	$509.18
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	13	13	$1166.15	$364.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	232	202	$187.00	$68.51
99213 Established patient office or other outpatient visit, typically 15 minutes	193	163	$187.00	$50.52
95810 Sleep monitoring of patient (6 years or older) in sleep lab	137	136	$446.00	$119.39
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	120	115	$477.73	$120.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$431.00	$158.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$427.57	$120.03
99441 Telephone medical discussion with physician, 5-10 minutes	15	15	$41.00	$25.74
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$52.00	$41.68
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	11	11	$475.09	$109.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	486	318	$185.52	$48.65
95810 Sleep monitoring of patient (6 years or older) in sleep lab	178	175	$443.60	$117.98
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	172	164	$476.70	$120.10
99213 Established patient office or other outpatient visit, typically 15 minutes	116	102	$187.00	$60.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$429.75	$119.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$267.74	$75.15
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	23	22	$214.00	$46.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	242	187	$186.60	$46.61
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	218	200	$465.56	$116.44
99213 Established patient office or other outpatient visit, typically 15 minutes	197	174	$186.66	$63.56
95810 Sleep monitoring of patient (6 years or older) in sleep lab	192	187	$438.50	$113.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$431.00	$147.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$431.00	$118.95
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	21	21	$214.00	$58.13
95810 Sleep monitoring of patient (6 years or older) in sleep lab	18	18	$446.00	$116.34
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	17	17	$478.00	$120.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	384	240	$187.00	$65.57
95810 Sleep monitoring of patient (6 years or older) in sleep lab	101	98	$428.89	$117.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$431.00	$145.22
95810 Sleep monitoring of patient (6 years or older) in sleep lab	75	73	$446.00	$116.09
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	69	66	$451.80	$117.83
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	60	58	$478.00	$123.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	13	$277.00	$100.52

Medical Specialties & State Licenses

CMS Verified: 2022-04-13

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WV 21315

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3810000452 (WV)

Hospital & Practice Group Affiliations

West Virginia University Medical Corporation

1 Medical Ctr Dr, Morgantown, WV 265061200

Phone: 3045984865

West Virginia University Medical Corporation

205 Bakers Ridge Rd, Morgantown, WV 265081500

Phone: 3045984285

West Virginia University Medical Corporation

201 Bakers Ridge Rd, Morgantown, WV 265081500

Phone: 3045984300

Camc Greenbrier Valley Medical Center Inc

102 Brookshire Ln, Beckley, WV 258016761

Phone: 3047932270

Secondary Practice Locations

102 Brookshire Ln

Beckley, WV 258016761

Phone: 3046476559

121 Main St W

Oak Hill, WV 259012943

Phone: 3046476559

Practice Associates & Co-Workers

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

1 Associated Practitioners

Stephanie Hamilton , PA-C

Physician Assistant

NPI 1669476057

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 16, 2020

Registered at 1322 MAPLEWOOD AVE, RONCEVERTE, WV 249708016 (Tel: 3046476559)

📍

Updated Business Mailing Address September 16, 2020

Registered at 176 DAWKINS DR, LEWISBURG, WV 249019302 (Tel: 3046456083)

✅

NPI Profile Active February 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 24, 2012

Registered at 100 TAYLOR LN, RONCEVERTE, WV 249701337 (Tel: 3047932410)

📍

Updated Business Mailing Address February 24, 2012

Registered at 100 TAYLOR LN, RONCEVERTE, WV 249701337 (Tel: 3047932410)

👤

Provider Name / Credentials Updated February 24, 2012

Recorded as HEATHER CLAWGES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2012

Pediatrics (License #21315 in WV)

🟢

Initial NPI Registration & Enumeration October 16, 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: 1316027410

Entity Type:

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

Enumeration Date: October 16, 2006

Last Update: April 13, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

176 Dawkins Dr

Lewisburg, WV 249019302

Phone: 3046456083

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.