DR. CLAYTON LEWIS THELEMAN (M.D.) – Surgery Physician, NPI 1013322080
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
787 GENERAL SURGERY in MO
Provider Addresses for DR. CLAYTON LEWIS THELEMAN (M.D.)
PO BOX 219672
KANSAS CITY, MO 641219672
Phone: (816) 407-4555
Fax: (816) 407-2362
Type: Mailing
2521 GLENN HENDREN DR STE 108
LIBERTY, MO 64068
Phone: (816) 781-3515
Fax: (816) 781-3517
Type: Location
624 NE Glen Oak Ave
Suite 2670
Peoria, IL 616033135
Phone: (309) 655-3971
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $64,860.
Total Amount is formed as General ($64,860) + Research ($0) + Ownership ($0) = $64,860.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($64,622).
Total Amount
$64,860
General + Research + Ownership
Payments
48
Total payment records
General Amount
$64,860
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $64,622 |
| Boston Scientific Corporation | $194 |
| Baxter Healthcare | $44 |
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: 2019-07-10
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 |
|---|---|---|---|---|
| I20190710003549 | I | General Surgery | MO | 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 | 48 | 48 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 36 | 24 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 29 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 15 | $0 |
Insurance plans in this area (ZIP 64121)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MO | |
| - | MO | |
| Cardiovascular Disease (Cardiology) | TX | |
| Pediatric Medicine, Internal Medicine | MO | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | MO | |
| Qualified Audiologist | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine, Hospitalist | OK | |
| Nurse Practitioner | MO | |
| Infectious Disease | MO |
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