DANIEL ROBERT CLAYBURGH (M.D.) – Otolaryngology Physician, NPI 1194984260

DANIEL ROBERT CLAYBURGH (M.D.) is a healthcare provider. based in Lake oswego, Oregon. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 166808 (OR). The NPI Number for DANIEL ROBERT CLAYBURGH (M.D.) is 1194984260

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL ROBERT CLAYBURGH (M.D.)
NPI
1194984260
Phone
Not provided
Address
840 EVERGREEN RD
Enumeration Date
4 June 2008
Last Update Date
23 April 2014

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
5034948311
Graduation Year
2008 (18 years ago)
PAC ID
5496900029
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20140924001882
Address ID
OR972394501PO3303XAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

182 OTOLARYNGOLOGY in OR

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Provider Addresses for DANIEL ROBERT CLAYBURGH (M.D.)

  • 840, Evergreen Road, Evergreen, Lake Oswego, Metro, Clackamas County, Oregon, 97034, United States

    LAKE OSWEGO, OR 970342955

    Phone:

    Type: Mailing

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972393011

    Phone: (503) 494-8211

    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: 2014-09-24

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
I20140924001882IOtolaryngologyORTBD

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
99205New patient office or other outpatient visit, 60-74 minutes2323$0
31575Diagnostic exam of voice box using a flexible endoscope1816$0
View full utilization report →

Insurance plans in this area (ZIP 97034)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

Does DANIEL ROBERT CLAYBURGH (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DANIEL ROBERT CLAYBURGH (M.D.) uses 1194984260.
Can I rely on DANIEL ROBERT CLAYBURGH (M.D.) being an active provider?
As of the registry snapshot, DANIEL ROBERT CLAYBURGH (M.D.) is marked active.
What taxonomy line describes DANIEL ROBERT CLAYBURGH (M.D.)?
For research purposes, treat DANIEL ROBERT CLAYBURGH (M.D.) as Otolaryngology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DANIEL ROBERT CLAYBURGH (M.D.) list a practice location?
Patients near Lake Oswego, Oregon may find DANIEL ROBERT CLAYBURGH (M.D.) in results; validate coverage separately.
Is the information about DANIEL ROBERT CLAYBURGH (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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