MR. JOHN K III CLAYSHULTE (PA-C) – Physician Assistant, NPI 1700033156
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
Provider Addresses for MR. JOHN K III CLAYSHULTE (PA-C)
5700 N ELIZABETH ST
PUEBLO, CO 810082166
Phone: (719) 355-1585
Fax: (719) 623-2983
Type: Location
2240 GRANDE BLVD SE STE 106
RIO RANCHO, NM 871241751
Phone: (505) 545-6741
Type: Location
6601 VAUGHT RANCH RD STE 200
AUSTIN, TX 787302309
Phone: (512) 628-0465
Fax: (206) 568-7043
Type: Mailing
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
Northeast Union Hill Road, Redmond, King County, Washington, 98052-6088, United States
REDMOND, WA, WA 980523330
Phone: (206) 320-5190
Fax: (206) 320-5191
Type: Location
6215 Corporate Dr Ste 101
Colorado Springs, CO 809191917
Phone: (719) 355-1585
Fax: (719) 623-2983
Type: Location
109 Latigo Ln Ste F
Canon City, CO 812128113
Phone: (719) 355-1585
Fax: (719) 623-2983
Type: Location
7300 RANCH ROAD 2222, BLDG 1, STE 200
AUSTIN, TX 787303255
Phone: (512) 759-8932
Fax: (512) 233-2711
Type: Mailing
9348 GRAND CORDERA PKWY STE 160
COLORADO SPRINGS, CO 809247023
Phone: (719) 355-1585
Fax: (719) 623-2983
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-04-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141120001679 | I | Physician Assistant | NM | TBD |
| I20240418000669 | I | Physician Assistant | CO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,723 | 213 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 604 | 422 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 435 | 321 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 167 | 125 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 164 | 147 | $0 |
Insurance plans in this area (ZIP 81008)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Otolaryngology, Plastic And Reconstructive Surgery | CO | |
| Physician Assistant | MN | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Physician Assistant | NV | |
| Dermatology, Pathology | CO | |
| D E R M A T O L O G Y | CO | |
| Physician Assistant | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.