Active NPI
Scott C Claycomb, MD
- Ophthalmology Physician
- Monticello, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- C7907
- Practice address
- 301 Highway 425 S
Monticello, AR 71655-4611 - Phone
- (870) 367-8534
- Fax
- (870) 367-0264
- NPI assigned
- Jun 21, 2005
- Last updated
- Sep 2, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | C7907 | AR | Primary |
Addresses
Primary practice location
301 Highway 425 S
Monticello, AR 71655-4611
Mailing address
301 Highway 425 S
Monticello, AR 71655-4611
Phone (870) 367-8534
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180024861 | Other | AR | RAILROAD MEDICARE |
| 1180870001 | Medicaid | AR | |
| 118087001 | Medicaid | AR | |
| 16703 | Other | QUALCHOICE | |
| 54339 | Other | AR | BLUE CROSS OF AR |
| 128298002 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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
- University of Arkansas College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
301 Hwy 425 S
Monticello, AR 71655-4611
Phone (870) 367-8534
Hospital & facility affiliations
- Baptist Health Medical Center-Drew County
- Bradley County Medical Center
- Ashley County Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.64 of 100
- Quality
- 51.27
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 291 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7907 | AR | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott C. Claycomb, M.D., P.a. | Ophthalmology | Current | Accepting new patients |
Locations
301 Highway 425 S
Monticello, AR 71655
Phone (870) 367-8534
1012 E Church St
Ste B
Warren, AR 71671
Phone (870) 226-6786
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Monticello, AR
- NPI 1235312737
-
- Ophthalmology Physician
- Monticello, AR
- NPI 1508006438
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Medical Center - Drew County
- General Acute Care Hospital
- Monticello, AR
- NPI 1962283192
-
- Critical Access Hospital
- Warren, AR
- NPI 1194741611
-
dba Ashley County Medical Center
- Critical Access Hospital
- Crossett, AR
- NPI 1952308215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1083610505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 HIGHWAY 425 S",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716554611",
"telephone_number": "870-367-8534",
"fax_number": "870-367-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HIGHWAY 425 S",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716554611",
"telephone_number": "870-367-8534",
"fax_number": "870-367-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYCOMB",
"first_name": "SCOTT",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AR",
"license": "C7907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180024861",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1180870001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118087001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "16703",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF AR",
"identifier": "54339",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128298002",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.