Active NPI
Clayton Timothy Pierce
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R77617
- Practice address
- 1300 N 12TH St Ste 605
Phoenix, AZ 85006-2850 - Phone
- (602) 839-4567
- Fax
- (602) 839-2067
- NPI assigned
- Apr 4, 2019
- Last updated
- Jun 24, 2019
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R77617 | AZ | Primary |
Addresses
Primary practice location
1300 N 12TH St Ste 605
Phoenix, AZ 85006-2850
Mailing address
1300 N 12TH St Ste 605
Phoenix, AZ 85006-2850
Phone (602) 839-4567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Osteopathic Manipulative Medicine
- Education
- University of Miami, LM Miller School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4892 N Stone Ave
Suite 100
Tucson, AZ 85704-5761
Phone (520) 396-1360
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.74 of 100
- Quality
- 79.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.96
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R77617 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Physician Group Holdings, LLC | Current | Accepting new patients | |
| Carondelet Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Locations
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912
4790 S Calle Santa Cruz
Tucson, AZ 85714
Phone (520) 777-2277
4892 N Stone Ave
Ste 100
Tucson, AZ 85704
Phone (520) 396-1360
551 W Magee Rd
Tucson, AZ 85704
Phone (520) 498-6467
630 N Alvernon Way
Ste 251
Tucson, AZ 85711
Phone (520) 322-8460
6565 E Carondelet Dr
Ste 155
Tucson, AZ 85710
Phone (520) 849-8900
Interoperability endpoints
- clayton.pierce.1@600.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
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.
-
dba Carondelet Medical Group
- Interventional Cardiology Physician
- Tucson, AZ
- NPI 1356726939
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1659326585
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Josephs Hospital
- General Acute Care Hospital
- Tucson, AZ
- NPI 1538535158
-
dba Sacred Heart Home Health Care
- Home Health Agency
- Tucson, AZ
- NPI 1093311284
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1235691593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N 12TH ST STE 605",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062850",
"telephone_number": "602-839-4567",
"fax_number": "602-839-2067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 12TH ST STE 605",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062850",
"telephone_number": "602-839-4567",
"fax_number": "602-839-2067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "CLAYTON",
"middle_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-04",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "R77617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.