Active NPI
Clayton Greer Scanlon, MD
- Retina Specialist (Ophthalmology) Physician
- Florissant, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 2014015320
- Practice address
- 1224 Graham Rd
3011
Florissant, MO 63031-8028 - Phone
- (314) 839-1211
- Fax
- (314) 893-8429
- NPI assigned
- Jul 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 2014015320 | MO | Primary |
Addresses
Primary practice location
1224 Graham Rd
3011
Florissant, MO 63031-8028
Mailing address
1224 Graham Rd
3011
Florissant, MO 63031-8028
Phone (314) 839-1211
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1529171 | Medicaid | TN | |
| 09488897 | Medicaid | MS | |
| 194545001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1224 Graham Rd
Suite 3011
Florissant, MO 63031-8028
Phone (314) 839-1211
12990 Manchester Rd
Suite 104
Des Peres, MO 63131-1860
Phone (314) 872-8884
5700 Mexico Rd
Suite 4
Saint Peters, MO 63376-1667
Phone (636) 926-3700
6680 Chippewa
Suite 220
St Louis, MO 63109-2537
6680 Chippewa St
Suite 220
Saint Louis, MO 63109-2537
Phone (314) 351-0101
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 97.79
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.04 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 73.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014015320 | MO | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Associates of St Louis, Inc | Retina Specialist | Current | Accepting new patients |
| Retina Contracting Inc | Past | Accepting new patients |
Locations
1224 Graham Rd
Ste 3011
Florissant, MO 63031
Phone (314) 839-1211
12990 Manchester Rd
Ste 104
Saint Louis, MO 63131
Phone (314) 872-8884
5700 Mexico Rd
Ste 4
Saint Peters, MO 63376
Phone (636) 926-3700
1701 Heritage Hills Dr
Washington, MO 63090
Phone (636) 229-1265
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Retina Specialist (Ophthalmology) Physician
- Florissant, MO
- NPI 1750581666
-
- Ophthalmology Physician
- Saint Louis, MO
- NPI 1225096928
-
- Ophthalmology Physician
- Swansea, IL
- NPI 1023400058
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1073778460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 GRAHAM RD",
"address_2": "3011",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318028",
"telephone_number": "314-839-1211",
"fax_number": "314-893-8429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 GRAHAM RD",
"address_2": "3011",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318028",
"telephone_number": "314-839-1211",
"fax_number": "314-893-8429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCANLON",
"first_name": "CLAYTON",
"middle_name": "GREER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-24",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "MO",
"license": "2014015320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1529171",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09488897",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194545001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.