Clayton Dale Fetsch, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

30350 Issued in KS

Practice address

1000 Hospital Dr
McPherson, KS 67460-2326

Phone

(620) 241-7400

Fax

(620) 798-2613

NPI assigned

Jul 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in KS

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

General Surgery

Education

University of North Dakota School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McPherson Hospital IncGroup PAC ID 1153232418, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McPherson Hospital Hospital, McPherson, KS, CCN 170105
• Hutchinson Regional Medical Center Inc Hospital, Hutchinson, KS, CCN 170020

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clayton.fetsch@khindirect.org
• Direct secure messaging: scc-direct@mcpmedsurg.hin.us

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• McPherson Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • McPherson, KS
  • NPI 1346342771

  Corporate Director

  CMS ownership

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.

• McPherson Hospital, Inc.

  • Rural Health Clinic/Center
  • McPherson, KS
  • NPI 1164524591

  Surgery

  Medicare reassignment Care Compare group NPD
• Family Practice Associates of McPherson, L.L.P.

  • Family Medicine Physician
  • McPherson, KS
  • NPI 1588627384
  NPD
• McPherson Hospital, Inc.

  • Hospitalist Physician
  • McPherson, KS
  • NPI 1821620378
  NPD

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

• Hutchinson Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Hutchinson, KS
  • NPI 1922039320
  Care Compare affiliation
• McPherson Hospital, Inc.

  • General Acute Care Hospital
  • McPherson, KS
  • NPI 1730297409
  Care Compare affiliation

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1285648626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOSPITAL DR",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602326",
            "telephone_number": "620-241-7400",
            "fax_number": "620-798-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOSPITAL DR",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602326",
            "telephone_number": "620-241-7400",
            "fax_number": "620-798-2613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "McPherson",
            "state": "KS",
            "postal_code": "674602326",
            "country_code": "US",
            "telephone_number": "620-241-2251",
            "fax_number": "620-798-2630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FETSCH",
        "first_name": "CLAYTON",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "30350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcc-direct@mcpmedsurg.hin.us",
            "affiliation": "N",
            "address_1": "1000 Hospital Dr",
            "city": "McPherson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674602326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scc-direct@mcpmedsurg.hin.us",
            "affiliation": "N",
            "address_1": "1000 Hospital Dr",
            "city": "McPherson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674602326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• EMS Kansas McPherson, LLC
• Emsc, LLC
• Anda Marie Entz, APRN
• Family Practice Associates of McPherson, L.L.P.
• Richard Ferree, M.D.
• Zachary Finch, PHARMD
• Lisa L Fisher-Ross, P.T.
• Suzanne Michele Fleming, RD, LD
• Mary Fogarty, LMSW
• Troy A Fox, D.C.

• Surgery Physician in McPherson, KS
• Providers in McPherson, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.