CLIVE ANDERSON WASSON (DO) – Surgery Physician, NPI 1215372768
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
859 GENERAL SURGERY in TN
Provider Addresses for CLIVE ANDERSON WASSON (DO)
83 MEMORIAL DR
WINCHESTER, TN 373982401
Phone: (931) 967-3966
Fax: (931) 962-0373
Type: Mailing
840 Montclair Rd.
Suite 317
Birmingham, AL 352131944
Phone: (205) 592-5135
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $174.
Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Baxter Healthcare ($43).
Total Amount
$174
General + Research + Ownership
Payments
8
Total payment records
General Amount
$174
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 |
|---|---|
| Baxter Healthcare | $43 |
| Endogastric Solutions, Inc | $31 |
| Ambu Inc. | $29 |
| Hologic Sales and Service, LLC | $25 |
| Ethicon US, LLC | $18 |
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: 2018-08-14
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 |
|---|---|---|---|---|
| I20180814002646 | I | General Surgery | TN | 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 | 102 | 102 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 56 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 41 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 48 | 46 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 37 | 35 | $0 |
Insurance plans in this area (ZIP 37398)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| General Surgery | TN | |
| General Surgery | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| - | TN | |
| Internal Medicine | TN |
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