NPIMap

Clayton Charles Bettin, M.D.

Individual provider Active NPI Orthopaedic Foot and Ankle Surgery Physician · Memphis, TN

NPI 1376861849 · NPPES record last updated Oct 5, 2022

Key facts

NPI
1376861849
Entity type
Individual (NPI type 1)
Primary specialty
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X
License
54304 (TN)
Practice address
1211 Union Ave
Suite 500
Memphis, TN 38104-6638
Phone
(901) 759-3100
Fax
(901) 759-5416
NPI assigned
May 9, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 4

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

Medicare Care Compare profile

Specialty
Orthopedic Surgery
Education
Ohio State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell Clinic, PC (229 clinicians)

Practice addresses (Care Compare)

1211 Union Ave
Suite 500
Memphis, TN 38104-6656
Phone (901) 759-3100

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100

7545 Airways Blvd
Southaven, MS 38671-5806
Phone (901) 759-3196

7887 Wolf River Blvd
Germantown, TN 38138-1718
Phone (901) 759-3100

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital · Memphis, TN · CCN 440049
  • Baptist Memorial Hospital Hospital · Memphis, TN · CCN 440048

Merit-based Incentive Payment System (MIPS)

Final score
75.09 of 100 (group)
Quality
50.47
Promoting interoperability
99
Improvement activities
40
Cost
67.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue70

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MS, TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160831000792 MS Practitioner - Orthopedic Surgery 2769708650 Reassigns benefits to 1 organization
I20160928002489 TN Practitioner - Orthopedic Surgery 2769708650 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Clinic, PC Orthopaedic Surgery Current
since Aug 10, 2016		 Accepting new patients
Campbell Clinic PC Current
since Aug 10, 2016		 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
CC Bpci PLC Orthopaedic Surgery Past Accepting new patients
Campbell Clinic Past Accepting new patients

Locations

7545 Airways Blvd
Southaven, MS 38671
Phone (901) 759-3196

1458 W Poplar Ave
Ste 100
Collierville, TN 38017
Phone (901) 759-5491

1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111

7887 Wolf River Blvd
Memphis, TN 38138
Phone (901) 759-3180

1211 Union Ave
Ste 500
Memphis, TN 38104
Phone (901) 759-3275

Interoperability endpoints

  • Direct secure messaging: clayton.bettin.1@1366.direct.athenahealth.com
  • Direct secure messaging: cbettin45639@mlh.direct-ci.com
  • Direct secure messaging: cbettin22750@direct.bmhcc.org
  • FHIR API: https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cbettin@cco1043.srs-direct.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 54304 TN
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 54304 TN Yes

Addresses

Primary practice location

1211 Union Ave
Suite 500
Memphis, TN 38104-6638

Mailing address

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100

Other practice location 1

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100

Other practice location 2

7545 Airways Blvd
Southaven, MS 38671-5806
Phone (901) 759-3100

Other practice location 3

8000 Centerview Pkwy Ste 500
Cordova, TN 38018-4254
Phone (901) 759-3100

Other practice location 4

1458 W Poplar Ave Ste 100
Collierville, TN 38017-0630
Phone (901) 759-3100

Other identifiers

IdentifierTypeStateIssuer
100212871MedicaidMS
05035265MedicaidMS
Q025470MedicaidTN
216986001MedicaidAR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 5, 2022.

{
    "created_epoch": "1273363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1376861849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S GERMANTOWN RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382205",
            "telephone_number": "901-759-3100",
            "fax_number": "901-759-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE",
            "address_2": "SUITE 500",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046638",
            "telephone_number": "901-759-3100",
            "fax_number": "901-759-5416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Germantown Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381382205",
            "country_code": "US",
            "telephone_number": "901-759-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7545 Airways Blvd",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386715806",
            "country_code": "US",
            "telephone_number": "901-759-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8000 Centerview Pkwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380184254",
            "country_code": "US",
            "telephone_number": "901-759-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1458 W Poplar Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380170630",
            "country_code": "US",
            "telephone_number": "901-759-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETTIN",
        "first_name": "CLAYTON",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-09",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "54304",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "TN",
            "license": "54304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212871",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05035265",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025470",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216986001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

All providers in Memphis, TN · Orthopaedic Foot and Ankle Surgery Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.