CLAYTON ANDERSON – Anesthesiology Physician, NPI 1477930543

CLAYTON ANDERSON is a healthcare provider. based in Salt lake city, Utah. specializing in ANESTHESIOLOGY. They hold a License No. 10098624-1205 (UT). The NPI Number for CLAYTON ANDERSON is 1477930543

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
CLAYTON ANDERSON
NPI
1477930543
Phone
(801) 581-6393
Address
30 N 1900 E RM 3C444
Enumeration Date
28 April 2015
Last Update Date
27 October 2016

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8016624980
Graduation Year
2015 (11 years ago)
PAC ID
8325368491
Group Practice PAC ID
4385618578
Professional Enrollment ID
I20210318001455
Address ID
UT841131103SA100XXDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

565 ANESTHESIOLOGY in UT

Provider Addresses for CLAYTON ANDERSON

  • 30 N 1900 E RM 3C444

    SALT LAKE CITY, UT 841322501

    Phone: (801) 581-6393

    Mailing address matches the actual address.

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: 2021-03-18

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
I20210318001455IAnesthesiologyUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84132)

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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: 4385618578View full group profile
NameSpecialtyState
-UT
-UT
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YUT
-UT
A N E S T H E S I O L O G YTN
-UT
A N E S T H E S I O L O G YUT
-UT

Reviews

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Frequently asked questions

How do payers reference CLAYTON ANDERSON?
For CLAYTON ANDERSON, use NPI 1477930543 as the unique 10-digit identifier.
Is CLAYTON ANDERSON still an active registrant?
CLAYTON ANDERSON carries an active NPI according to the public dataset.
How would a patient describe CLAYTON ANDERSON's focus?
For CLAYTON ANDERSON, the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where in Utah is CLAYTON ANDERSON registered?
Use Salt Lake City, Utah as the headline location for CLAYTON ANDERSON here.
When was this NPI issued?
Enumeration for CLAYTON ANDERSON is noted as April 28, 2015 where the registry provides it.

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