NPIMap

Individual provider Active NPI

Clay Michael Pendleton, M.D.

  • Urology Physician
  • Steamboat Springs, CO
National Provider Identifier
1942555081
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0053605 Issued in CO
Practice address
501 Anglers Dr
Suite 202
Steamboat Springs, CO 80487-8840
Phone
(970) 871-9710
Fax
(970) 871-9709
NPI assigned
Jul 15, 2012
Last updated
May 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0053605 CO
Urology Physician 208800000X 0053605 CO Primary

Addresses

Primary practice location

501 Anglers Dr
Suite 202
Steamboat Springs, CO 80487-8840

Mailing address

501 Anglers Dr Ste 202
Steamboat Springs, CO 80487-8841
Phone (970) 871-9710

Other identifiers 1

IdentifierTypeStateIssuer
50038044MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140715001136 CO Practitioner - Urology 2062637689 Reassigns benefits to 2 organizations
I20150527002618 NE Practitioner - Urology 2062637689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Louisiana State University School of Medicine in Shreveport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Clinic PCGroup PAC ID 7214925205, 2 clinicians

Practice addresses (Care Compare)

501 Anglers Dr
Suite 202
Steamboat Springs, CO 80487-8841
Phone (970) 871-9710

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
95
Improvement activities
40
Cost
72.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0053605COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent General Hospital District CurrentSince Jul 1, 2025 Accepting new patients
St. Vincent General Hospital District CurrentSince Apr 15, 2022 Accepting new patients
St. Vincent General Hospital District CurrentSince Apr 15, 2022 Accepting new patients
Peak One Surgery Center, LLC Current Accepting new patients
Obstetricians & Gynecologists, P.C. CurrentSince Dec 1, 2018 Accepting new patients

Locations

816 W 4th St
Leadville, CO 80461
Phone (719) 221-0660

2115 N Kansas Ave
Ste 204
Hastings, NE 68901
Phone (402) 463-6793

Interoperability endpoints

  • Direct secure messaging: clay.pendleton.1@16856.direct.athenahealth.com
  • Direct secure messaging: cpendleton@bbgh.securechart.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCEJBD
  • Direct secure messaging: urologyclinicpc.claypendleton@153855.advancedmd-direct.com

Organizations & group practices 5

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1342310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1942555081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ANGLERS DR STE 202",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878841",
            "telephone_number": "970-871-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ANGLERS DR",
            "address_2": "SUITE 202",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878840",
            "telephone_number": "970-871-9710",
            "fax_number": "970-871-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "CLAY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-15",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "0053605",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "0053605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50038044",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

Verify at the official NPI Registry.