Lloyd J Cleaver, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

R8895 Issued in MO

Practice address

1316 Country Club Dr
Kirksville, MO 63501-5362

Phone

(660) 627-7546

Fax

(660) 956-7097

NPI assigned

May 27, 2005

Last updated

Jul 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: General Practice, Micrographic Dermatologic Surgery (MDS)

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleaver Dermatology PCGroup PAC ID 4587946298, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022
• Macon County Samaritan Memorial Hospital Hospital, Macon, MO, CCN 261313

Merit-based Incentive Payment System (MIPS)

Final score

90.53 of 100Reported as group

Quality

88.68

Improvement activities

40

Cost

83.54

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Cleaver Dermatology PC

  • Dermatology Physician
  • Kirksville, MO
  • NPI 1013452861
  Medicare reassignment Care Compare group
• Lloyd J. Cleaver, D.O., L.L.C.

  • Dermatology Physician
  • Kirksville, MO
  • NPI 1144366428
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kirksville Missouri Hospital Company, LLC

  dba Northeast Regional Medical Center

  • General Acute Care Hospital
  • Kirksville, MO
  • NPI 1104899442
  Care Compare affiliation
• Macon County Samaritan Hospital

  • Critical Access Hospital
  • Macon, MO
  • NPI 1548215106
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1104829829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 COUNTRY CLUB DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015362",
            "telephone_number": "660-627-7546",
            "fax_number": "660-956-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 COUNTRY CLUB DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015362",
            "telephone_number": "660-627-7546",
            "fax_number": "660-956-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEAVER",
        "first_name": "LLOYD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "R8895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070004124",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "000014853",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242210912",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP#",
            "identifier": "DG4290",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP#",
            "identifier": "501218200",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susana Cisneros, MA, PLPC
• Terri Lynn Clay, MA, CCC-SLP
• Cleaver Dermatology PC
• David Wesley Cleaver, D.O.
• Jonathan Lloyd Cleaver, D.O.
• Adam Lance Cline, ATC
• Emily Christine Cobb
• John C Collins, DO
• Darien Elizabeth Comeaux
• Comm Opp Services Inc

• Dermatology Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.

Verify at the official NPI Registry.