NPIMap

Individual provider Active NPI

Gary R Clayton, M.D.

  • Family Medicine Physician
  • Beaumont, TX
National Provider Identifier
1154438620
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H5430 Issued in TX
Practice address
740 Hospital Dr
Suite 210
Beaumont, TX 77701-4664
Phone
(409) 839-4757
Fax
(409) 839-4294
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H5430 TX Primary

Addresses

Primary practice location

740 Hospital Dr
Suite 210
Beaumont, TX 77701-4664

Mailing address

PO Box 8235
Lumberton, TX 77657-0235
Phone (409) 839-4757

Other identifiers 2

IdentifierTypeStateIssuer
128406906MedicaidTX
173193701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040302001382 TX Practitioner - Family Practice 9436046562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gary R Clayton MD PAGroup PAC ID 5092764324, 2 clinicians

Practice addresses (Care Compare)

740 Hospital Dr
Beaumont, TX 77701-4663
Phone (409) 839-4757

Hospital & facility affiliations

  • Pathfinder Home Health Home health agency, The Woodlands, TX, CCN 678058
  • Centerwell Home Health Home health agency, Beaumont, TX, CCN 678039
  • Three Oaks Hospice Hospice, Beaumont, TX, CCN 741681
  • Compassion Hospice Hospice, Beaumont, TX, CCN 671637
  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Merit-based Incentive Payment System (MIPS)

Final score
82.02 of 100Reported as group
Quality
75.85
Improvement activities
40
Cost
72.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H5430TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gary R. Clayton, MD, PA Family Medicine CurrentSince Jan 1, 2005 Accepting new patients

Locations

740 Hospital Dr
Ste 210
Beaumont, TX 77701
Phone (409) 833-4200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJCBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJCBA/Endpoint/EDJCBA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Three Oaks HospiceBeaumont, TX, CCN 741681 Hospice Contracted Managing Employee Aug 7, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1154438620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8235",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776570235",
            "telephone_number": "409-839-4757",
            "fax_number": "409-839-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR",
            "address_2": "SUITE 210",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014664",
            "telephone_number": "409-839-4757",
            "fax_number": "409-839-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "GARY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H5430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128406906",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173193701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.