Individual provider Active NPI

Clayton Ellis Nelson, MD

  • Orthopaedic Hand Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1871854554
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
29279 Issued in OK
Practice address
1110 N Lee Ave Ste 200
Oklahoma City, OK 73103-2612
Phone
(405) 218-2530
Fax
(405) 218-2535
NPI assigned
May 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD461592 PA
Orthopaedic Hand Surgery Physician 207XS0106X MD461592 PA
Orthopaedic Hand Surgery Physician 207XS0106X 29279 OK Primary

Addresses

Primary practice location

1110 N Lee Ave Ste 200
Oklahoma City, OK 73103-2612

Mailing address

1110 N Lee Ave Ste 200
Oklahoma City, OK 73103-2612
Phone (405) 218-2530

Other identifiers 1

IdentifierTypeStateIssuer
200445900AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20160425000133 OK Practitioner - Orthopedic SurgeryPractitioner - Hand SurgeryPractitioner - Emergency Medicine 1759681299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000

1110 N Lee Ave
Oklahoma City, OK 73103-2612

13401 N Western Ave
Suite 302
Oklahoma City, OK 73114-1411
Phone (405) 272-6685

608 NW 9TH St
Oklahoma City, OK 73102-1049

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)19
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD461592PAMDOrthopaedic Surgery Physician
29279OKMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Emergency Services PC CurrentSince Apr 1, 2016 Accepting new patients
Saints Medical Group, LLC CurrentSince Jan 21, 2020 Accepting new patients
Saints Medical Group, LLC Orthopaedic Surgery CurrentSince Jan 21, 2020 Accepting new patients
Eagle Community Clinic LLC Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

13401 N Western Ave
Ste 301
Oklahoma City, OK 73114
Phone (405) 218-2530

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

1111 N Dewey Ave
Oklahoma City, OK 73103
Phone (405) 272-7900

1110 N Lee Ave
Ste 200
Oklahoma City, OK 73103
Phone (405) 218-2530

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

Interoperability endpoints

  • Direct secure messaging: cnelson115715@direct-ehr-ssmhc.com

Organizations & group practices 7

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1871854554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N LEE AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032612",
            "telephone_number": "405-218-2530",
            "fax_number": "405-218-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N LEE AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032612",
            "telephone_number": "405-218-2530",
            "fax_number": "405-218-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CLAYTON",
        "middle_name": "ELLIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD461592",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "PA",
            "license": "MD461592",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OK",
            "license": "29279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200445900A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.