David Wesley Cleaver, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2010022125 Issued in MO

Practice address

1316 Country Club Dr
Kirksville, MO 63501-5362

Phone

(660) 627-7546

Fax

(660) 956-7097

NPI assigned

Jun 29, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO, IA2 enrollments

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 2

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2006

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)

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dwc@cleaver.emadirect.md

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.

• Cleaver Dermatology PC

  • Dermatology Physician
  • Kirksville, MO
  • NPI 1013452861

  IA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1295932648",
    "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": "DAVID",
        "middle_name": "WESLEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2010022125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2010022125",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "501218200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "000014853",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Lester Ciesemier, D.O
• Cindy a Mayberry Apn LLC
• Susana Cisneros, MA, PLPC
• Terri Lynn Clay, MA, CCC-SLP
• Cleaver Dermatology PC
• Jonathan Lloyd Cleaver, D.O.
• Lloyd J Cleaver, DO
• Adam Lance Cline, ATC
• Emily Christine Cobb
• John C Collins, DO

• 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.