DR. JOSHUA CLAPP (M.D.) – Surgery Physician, NPI 1124569454
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
539 GENERAL SURGERY in KY
Loading map...
Provider Addresses for DR. JOSHUA CLAPP (M.D.)
550, South Jackson Street, Louisville, Jefferson County, Kentucky, 40202, United States
2ND FLOOR ACB DEPARTMENT OF GENERAL SURGERY
LOUISVILLE, KY 402021622
Phone: (502) 842-5442
Type: Location
800 HOSPITAL DR FL 3
MADISONVILLE, KY 424311658
Phone: (270) 326-4780
Fax: (270) 326-4804
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $7,271.
Total Amount is formed as General ($7,271) + Research ($0) + Ownership ($0) = $7,271.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($6,868).
Total Amount
$7,271
General + Research + Ownership
Payments
40
Total payment records
General Amount
$7,271
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $6,868 |
| Sirius Medical Systems | $93 |
| W. L. Gore & Associates, Inc. | $72 |
| Ethicon US, LLC | $58 |
| Davol Inc. | $32 |
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: 2022-07-12
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 |
|---|---|---|---|---|
| I20220712000820 | I | General Surgery | KY | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 50 | 50 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 27 | 24 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 27 | 14 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 40202)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Cardiovascular Disease (Cardiology) | KY | |
| Emergency Medicine | OH | |
| General Surgery | KY | |
| Internal Medicine, Hematology/Oncology | KY | |
| P S Y C H I A T R Y | TN | |
| Orthopedic Surgery | KY | |
| P S Y C H I A T R Y | KY | |
| Radiation Oncology | TX | |
| Nurse Practitioner | KY |
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.