NICHOLAS CLOUGH, MD
Family Medicine Physician · LIVINGSTON, TN
Individual Active NPI 1437561149
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 384 | 3,118 | $260,216 | $177,006 | $134,357 |
| 2023 | 411 | 3,395 | $279,380 | $190,145 | $150,260 |
| 2022 | 380 | 2,877 | $253,002 | $175,555 | $140,002 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 484 | $116 | $79 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 473 | $58 | $42 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 351 | $83 | $57 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 206 | $0 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 188 | $44 | $34 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 136 | $15 | $15 |
| G0444 | Annual depression screening, 5 to 15 minutes | 94 | $17 | $17 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 93 | $7 | $7 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 89 | $118 | $118 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 73 | $38 | $38 |
| 96372 | Injection of drug or substance under skin or into muscle | 60 | $13 | $9 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 58 | $0 | $0 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | MD55963 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.