DOUGLAS E CLAYBROOK (M.D.) – Urology Physician, NPI 1932216231
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
300 UROLOGY in IN
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Provider Addresses for DOUGLAS E CLAYBROOK (M.D.)
221, South 6th Street, Terre Haute, Vigo County, Indiana, 47807, United States
TERRE HAUTE, IN 478074214
Phone: (812) 242-3130
Fax: (812) 242-3596
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 2 Open Payments records for all available years, with a total value of $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Axonics, Inc. ($30).
Total Amount
$55
General + Research + Ownership
Payments
2
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $30 |
| AngioDynamics, Inc. | $25 |
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: 2023-04-20
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 |
|---|---|---|---|---|
| I20230420002499 | I | Urology | AR | 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 |
|---|---|---|---|---|
| 50590 | Shock wave crushing of kidney stones | 11 | 11 | $0 |
Insurance plans in this area (ZIP 47807)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AR | |
| - | AR | |
| Physician Assistant | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| U R O L O G Y | LA | |
| Nurse Practitioner | AR | |
| Physician Assistant | AR | |
| Physician Assistant | AR | |
| U R O L O G Y | AR |
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