Individual provider Active NPI

Catherine Ann Clayton, M.D.

  • Procedural Dermatology Physician
  • Plant City, FL
National Provider Identifier
1396716692
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
ME49412 Issued in FL
Practice address
2010 Thonotosassa Rd
Plant City, FL 33563-2941
Phone
(813) 752-0757
Fax
(813) 752-0753
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X ME49412 FL Primary

Addresses

Primary practice location

2010 Thonotosassa Rd
Plant City, FL 33563-2941

Mailing address

2010 Thonotosassa Rd
Plant City, FL 33563-2941
Phone (813) 752-0752

Other identifiers 1

IdentifierTypeStateIssuer
263636100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20110407000938 FL Practitioner - Dermatology 8022074640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erica Smithberger MD. PLGroup PAC ID 2264655836, 3 clinicians

Practice addresses (Care Compare)

2010 Thonotosassa Rd
Plant City, FL 33563-2941
Phone (813) 752-0757

Merit-based Incentive Payment System (MIPS)

Final score
96.92 of 100Reported as individual
Quality
94.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1119
Removal or shaving of skin growth72
Skin biopsy160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME49412FLMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erica Smithberger M.D., P.L. CurrentSince May 1, 2014 Accepting new patients

Locations

110 Southern Oaks Dr
Plant City, FL 33563
Phone (813) 752-0757

2010 Thonotosassa Rd
Plant City, FL 33563
Phone (813) 752-0757

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1396716692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 THONOTOSASSA RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335632941",
            "telephone_number": "813-752-0752",
            "fax_number": "813-752-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 THONOTOSASSA RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335632941",
            "telephone_number": "813-752-0757",
            "fax_number": "813-752-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME49412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263636100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.