MRS. JENI ANNE SHULL CLAYTON (M.D., M.P.H.) – Family Medicine Physician, NPI 1093006496
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
966 OBSTETRICS/GYNECOLOGY in IN
Provider Addresses for MRS. JENI ANNE SHULL CLAYTON (M.D., M.P.H.)
100 N WALNUT ST
SEYMOUR, IN 472742192
Phone: (812) 523-5185
Fax: (812) 523-3826
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $674.
Total Amount is formed as General ($674) + Research ($0) + Ownership ($0) = $674.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PFIZER INC. ($142).
Total Amount
$674
General + Research + Ownership
Payments
35
Total payment records
General Amount
$674
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $142 |
| Novo Nordisk Inc | $98 |
| ABBVIE INC. | $68 |
| Astellas Pharma US Inc | $48 |
| Medtronic, Inc. | $39 |
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: 2019-03-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20190326001531 | I | Obstetrics/Gynecology | IN | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,800 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 330 | 161 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 199 | 131 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 82 | 82 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 38 | $0 |
Insurance plans in this area (ZIP 47274)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Emergency Medicine | IN | |
| Internal Medicine | IL | |
| Nurse Practitioner | IN | |
| - | OH | |
| Emergency Medicine | IN | |
| Orthopedic Surgery | IN | |
| Physician Assistant | PA | |
| Emergency Medicine | TN | |
| Nurse Practitioner | FL |
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