DR. CLAYTON PETER JOSEPHY (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1194996405

DR. CLAYTON PETER JOSEPHY (MD) is a healthcare provider. based in South lake tahoe, California. specializing in CRITICAL CARE (INTENSIVISTS), EMERGENCY MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A112372 (CA). The NPI Number for DR. CLAYTON PETER JOSEPHY (MD) is 1194996405

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLAYTON PETER JOSEPHY (MD)
NPI
1194996405
Phone
(530) 541-3420
Address
2170 SOUTH AVE
Enumeration Date
13 March 2008
Last Update Date
18 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5305435807
Graduation Year
2007 (19 years ago)
PAC ID
2062606460
Group Practice PAC ID
5395127682
Professional Enrollment ID
I20101029000861
Address ID
CA961507026SO2170XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

2,125 CRITICAL CARE (INTENSIVISTS) in CA

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Provider Addresses for DR. CLAYTON PETER JOSEPHY (MD)

  • South Lake Tahoe, El Dorado County, California, United States

    SOUTH LAKE TAHOE, CA 961507026

    Phone: (530) 541-3420

    Type: Location

  • 1111, Emerald Bay Road, Tahoe Valley, South Lake Tahoe, El Dorado County, California, 96150, United States

    SOUTH LAKE TAHOE, CA 961506207

    Phone: (530) 543-5659

    Fax: (530) 541-8723

    Type: Mailing

  • 2170 South Ave

    South Lake Tahoe, CA 961507026

    Phone: (530) 541-3420

    Type: Location

  • 10101 Double R Blvd

    Reno, NV 895213149

    Phone: (775) 982-7878

    Fax: (775) 982-4196

    Type: Location

  • 1501-A Kirkwood Meadows Dr

    Kirkwood, CA 95646

    Phone: (209) 258-7236

    Type: Location

  • 3860 Saddle Rd

    South Lake Tahoe, CA 961508673

    Phone: (530) 543-5575

    Type: Location

  • 1155 MILL ST # M14

    RENO, NV 895021576

    Phone: (775) 982-5262

    Fax: (775) 982-4196

    Type: Mailing

  • 1155 MILL ST

    RENO, NV 895021576

    Phone: (775) 982-7878

    Fax: (775) 982-4196

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2023-08-30 • Largest payer in this snapshot: ABIOMED ($54).

Total Amount

$54

General + Research + Ownership

Payments

1

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$54
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101029000861IEmergency MedicineCATBD
I20101214000359ICritical Care (Intensivists)NVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes234127$0
99292Critical care, each additional 30 minutes6345$0
36620Insertion of artery tube for blood sampling or infusion through skin2322$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2222$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)2019$0
View full utilization report →

Insurance plans in this area (ZIP 96150)

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Provider's Procedures

DR. CLAYTON PETER JOSEPHY (MD) performs procedures in CRITICAL CARE (INTENSIVISTS). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINECA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report7863

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395127682View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Critical Care (Intensivists), Emergency MedicineNV
Family PracticeCA
Family PracticeCA
P S Y C H I A T R YCA
O T O L A R Y N G O L O G YPA
U R O L O G YCA
Internal MedicineCA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. CLAYTON PETER JOSEPHY (MD)'s NPI?
Yes. DR. CLAYTON PETER JOSEPHY (MD) is listed with NPI 1194996405 in the public NPI dataset.
Does the file indicate DR. CLAYTON PETER JOSEPHY (MD) is practicing under active NPI?
Directory data currently reports DR. CLAYTON PETER JOSEPHY (MD) as active.
What taxonomy line describes DR. CLAYTON PETER JOSEPHY (MD)?
For research purposes, treat DR. CLAYTON PETER JOSEPHY (MD) as Critical Care Medicine (Internal Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. CLAYTON PETER JOSEPHY (MD) based?
DR. CLAYTON PETER JOSEPHY (MD) is tied to South Lake Tahoe, California in the data we show; additional addresses may exist on the full record.
Is the information about DR. CLAYTON PETER JOSEPHY (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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