CLAY R DAHLQUIST (DO) – Family Medicine Physician, NPI 1083691190

CLAY R DAHLQUIST (DO) is a healthcare provider. based in Waverly, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 03250 (IA). The NPI Number for CLAY R DAHLQUIST (DO) is 1083691190

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
CLAY R DAHLQUIST (DO)
NPI
1083691190
Phone
(319) 352-4120
Address
312 9TH ST SW
Enumeration Date
29 December 2005
Last Update Date
25 February 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193524120
Graduation Year
1998 (28 years ago)
PAC ID
9234197427
Group Practice PAC ID
8820996762
Professional Enrollment ID
I20041220000736
Address ID
IA506772929WA312XXSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

Provider Addresses for CLAY R DAHLQUIST (DO)

  • Waverly Health Center, 312, 9th Street Southwest, Waverly, Bremer County, Iowa, 50677, United States

    WAVERLY, IA 506772929

    Phone: (319) 352-4120

    Fax: (319) 352-3992

    Type: Mailing

  • 80 AMHEARST BLVD

    SUITE 400

    NASHUA, IA 506589712

    Phone: (641) 435-4133

    Fax: (641) 435-4003

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2004-12-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041220000736IFamily PracticeIATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14680$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8781$0
99238Hospital discharge day management, 30 minutes or less8076$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6543$0
View full utilization report →

Insurance plans in this area (ZIP 50677)

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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: 8820996762View full group profile
NameSpecialtyState
-IA
Certified Registered Nurse Anesthetist (Crna)WA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Family PracticeIA
Nurse PractitionerIA
General Surgery, General PracticeIA
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)HI

Reviews

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Frequently asked questions

How do payers reference CLAY R DAHLQUIST (DO)?
For CLAY R DAHLQUIST (DO), use NPI 1083691190 as the unique 10-digit identifier.
Would CLAY R DAHLQUIST (DO) appear as active to a payer?
You can treat CLAY R DAHLQUIST (DO) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to CLAY R DAHLQUIST (DO)?
CLAY R DAHLQUIST (DO)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CLAY R DAHLQUIST (DO)?
Directory geography for CLAY R DAHLQUIST (DO) centers on Waverly, Iowa.
When was this NPI issued?
Enumeration for CLAY R DAHLQUIST (DO) is noted as December 29, 2005 where the registry provides it.

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