CLIVE ANDERSON WASSON (DO) – Surgery Physician, NPI 1215372768

CLIVE ANDERSON WASSON (DO) is a healthcare provider. based in Winchester, Tennessee. specializing in GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. 3442 (TN). The NPI Number for CLIVE ANDERSON WASSON (DO) is 1215372768

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
CLIVE ANDERSON WASSON (DO)
NPI
1215372768
Phone
(931) 967-3966
Address
83 MEMORIAL DR
Enumeration Date
9 May 2013
Last Update Date
22 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9319673966
Graduation Year
2013 (13 years ago)
PAC ID
8729213442
Group Practice PAC ID
5991765943
Professional Enrollment ID
I20180814002646
Address ID
TN373982401WI83XXXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180814002646IGeneral SurgeryTNTBD

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
99204New patient office or other outpatient visit, 45-59 minutes102102$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5629$0
99213Established patient office or other outpatient visit, 20-29 minutes4841$0
99214Established patient office or other outpatient visit, 30-39 minutes4846$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3735$0
View full utilization report →

Insurance plans in this area (ZIP 37398)

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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: 5991765943View full group profile

Reviews

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Frequently asked questions

Is there an official ID for CLIVE ANDERSON WASSON (DO) in U.S. healthcare records?
The official identifier for CLIVE ANDERSON WASSON (DO) is NPI 1215372768.
Is there an active status for CLIVE ANDERSON WASSON (DO)?
For scheduling context, CLIVE ANDERSON WASSON (DO) is shown as active in the registry.
What kind of doctor is CLIVE ANDERSON WASSON (DO)?
CLIVE ANDERSON WASSON (DO) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Is CLIVE ANDERSON WASSON (DO) located near Winchester?
CLIVE ANDERSON WASSON (DO) currently maps to Winchester, Tennessee in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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