NPIMap

Individual provider Active NPI

Richard M Clouse, MD

  • Family Medicine Physician
  • Glasgow, KY
National Provider Identifier
1720078355
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26157 Issued in KY
Practice address
109 Homewood Blvd
Glasgow, KY 42141-3468
Phone
(270) 651-6126
NPI assigned
Oct 25, 2005
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26157 KY Primary

Addresses

Primary practice location

109 Homewood Blvd
Glasgow, KY 42141-3468

Mailing address

2717 E Oakland Ave
Johnson City, TN 37601-1843
Phone (423) 926-2358

Other practice location 1

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone (270) 651-1111

Other practice location 2

1325 N Race St
Glasgow, KY 42141-3427
Phone (270) 651-4797

Other identifiers 1

IdentifierTypeStateIssuer
64012693MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rclouse@tjrh.cernerdirect.com T J Samson Community Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319000041 KY Practitioner - Family Practice 9638069941 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renuven Aco PLLCGroup PAC ID 1850820374, 8 clinicians
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians

Practice addresses (Care Compare)

109 Homewood Blvd
Glasgow, KY 42141-3468
Phone (423) 926-2358

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26157KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
T J Samson Community Hospital Family Medicine Current Accepting new patients
T J Samson Community Hospital Family Medicine CurrentSince Jan 29, 2013 Accepting new patients
Renuven Aco PLLC CurrentSince Feb 1, 2026 Accepting new patients
T J Samson Community Hospital Current Accepting new patients
T J Samson Community Hospital CurrentSince Jan 29, 2013 Accepting new patients
Integrated Health Transitions, PLLC Family Medicine CurrentSince Nov 5, 2025 Accepting new patients
NHC Healthcare-Glasgow LLC Past Accepting new patients
T J Samson Community Hospital Past Accepting new patients
T J Samson Community Hospital Past Accepting new patients

Locations

299 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2511

104 Hippocrates Way
Glasgow, KY 42141
Phone (270) 659-3322

109 Homewood Blvd
Glasgow, KY 42141
Phone (270) 651-6126

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

1325 N Race St
Glasgow, KY 42141
Phone (270) 651-4797

1330 N Race St
Ste 2
Glasgow, KY 42141
Phone (270) 651-6791

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

312 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
NHC Healthcare, GlasgowGlasgow, KY, CCN 185093 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 22, 2009
Jun 16, 2025

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1720078355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 E OAKLAND AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011843",
            "telephone_number": "423-926-2358",
            "fax_number": "423-926-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HOMEWOOD BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413468",
            "telephone_number": "270-651-6126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 N L Rogers Wells Blvd",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421411300",
            "country_code": "US",
            "telephone_number": "270-651-1111",
            "fax_number": "270-659-5850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 N Race St",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421413427",
            "country_code": "US",
            "telephone_number": "270-651-4797",
            "fax_number": "270-651-4818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "26157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64012693",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rclouse@tjrh.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "T J Samson Community Hospital",
            "address_1": "1325 N Race St",
            "city": "Glasgow",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421413427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.