Individual provider Active NPI

Lacey Dawn Clawson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Abilene, TX
National Provider Identifier
1497986202
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2020 Issued in TX
Practice address
6250 Regional PLZ Ste 1016
Abilene, TX 79606-5223
Phone
(325) 793-5135
Fax
(325) 793-5136
NPI assigned
Jul 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2020 TX Primary

Addresses

Primary practice location

6250 Regional PLZ Ste 1016
Abilene, TX 79606-5223

Mailing address

2074 Antilley Rd
Abilene, TX 79606-5209
Phone (325) 698-3865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120827000315 TX Practitioner - Podiatry 5496902462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asmo Overhead, LLPGroup PAC ID 2365629367, 16 clinicians

Practice addresses (Care Compare)

2074 Antilley Rd
Abilene, TX 79606-5209
Phone (325) 698-3865

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Abilene, TX, CCN 679184
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Rolling Plains Memorial Hospital Hospital, Sweetwater, TX, CCN 450055
  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue76
Removal of skin lesions1-10
Removal of nail tissue368
Removal or shaving of skin growth63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Asmo Overhead, LLP CurrentSince Jan 1, 2021 Accepting new patients
Asmo Overhead, LLP Foot & Ankle Surgery CurrentSince Jan 1, 2021 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

2074 Antilley Rd
Abilene, TX 79606
Phone (325) 690-9700

6250 Regional Plz
Ste 1016
Abilene, TX 79606
Phone (325) 428-5790

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1497986202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 ANTILLEY RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065209",
            "telephone_number": "325-698-3865",
            "fax_number": "257-931-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 REGIONAL PLZ STE 1016",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065223",
            "telephone_number": "325-793-5135",
            "fax_number": "325-793-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAWSON",
        "first_name": "LACEY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.