Dr. John Simpson Clapp , MD
Orthopaedic Surgery โข Augusta, GA
811 13th St, Suite 20
Augusta, GA 309012700
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. John Clapp is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on April 2, 2007; this date does not establish years in practice.
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Published CMS data list 1,550 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 394 service units.
- 99214 โ Established patient outpatient office visit: 267 service units.
- 72100 โ X-ray of lower and sacral spine, 2-3 views: 177 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 22 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,096 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Gabapentin โ 242 prescription fills, including refills.
- Dexamethasone โ 162 prescription fills, including refills.
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) โ 149 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 15 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Orthopaedic Surgery in Augusta, GA (2024, 23 clinicians with data). Median for this group: 1,550. Middle half: 321 to 2,409.
Close to the middle for Medicare Part B services among clinicians listed under Orthopaedic Surgery in Georgia (2024, 466 clinicians with data). Median for this group: 2,112. Middle half: 682 to 5,937.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 2,539 in 2020 to 1,550 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
811 13th St
Suite 20
Augusta, GA 309012700
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Augusta Orthopedic And Sports Medicine Specialists, Pc; Georgialina Physical Therapy Associates Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2006
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
548 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $273,925 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $209,856 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
1,141 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$8,564 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $78.78 across 3 records.
By nature of payment
- Food and Beverage: $78.78 across 3 records.
Reporting-company totals
- Bioventus LLC: $40.10 across 1 record.
- Smith+Nephew, Inc.: $22.66 across 1 record.
- SI-BONE, INC.: $16.02 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
20 years (graduated 2006)
CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Clapp has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Clapp as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Augusta and Georgia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Orthopaedic Surgery in Augusta, GA (2024, 23 clinicians with data). Median for this group: 1,550. Middle half: 321 to 2,409.
Close to the middle for clinicians listed under Orthopaedic Surgery in Georgia (2024, 466 clinicians with data). Median for this group: 2,112. Middle half: 682 to 5,937.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Orthopaedic Surgery in Augusta, GA (2024, 23 clinicians with data). Median for this group: $74,158. Middle half: $25,847 to $212,409.
A higher Medicare-allowed amount than 85% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 466 clinicians with data). Median for this group: $96,431. Middle half: $41,948 to $181,444.
Paid by Medicare
A higher Medicare payment amount than 85% of clinicians listed under Orthopaedic Surgery in Augusta, GA (2024, 23 clinicians with data). Median for this group: $55,245. Middle half: $18,845 to $162,532.
A higher Medicare payment amount than 90% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 466 clinicians with data). Median for this group: $71,995. Middle half: $31,204 to $136,115.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Orthopaedic Surgery in Augusta, GA (2024, 31 clinicians with data). Median for this group: 130. Middle half: 28 to 822.
More Part D prescriptions than 80% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 487 clinicians with data). Median for this group: 491. Middle half: 182 to 889.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Orthopaedic Surgery in Augusta, GA (2024, 31 clinicians with data). Median for this group: $1,119. Middle half: $185 to $4,646.
A higher Part D drug cost than 75% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 487 clinicians with data). Median for this group: $3,700. Middle half: $1,125 to $8,077.
65 active clinicians are listed under Orthopaedic Surgery with a practice address in Augusta, GA (753 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Augusta
0% of these 65 clinicians have the CMS telehealth indicator.
44.6% of these 65 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 39% from 2,539 in 2020 to 1,550 in 2024.
- 2020: 2,539
- 2021: 2,442
- 2022: 2,083
- 2023: 1,515
- 2024: 1,550
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Medicare-allowed amount
Medicare-allowed amount decreased 17% from $328,329 in 2020 to $273,925 in 2024.
- 2020: $328,329
- 2021: $311,822
- 2022: $284,790
- 2023: $226,234
- 2024: $273,925
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Paid by Medicare
Paid by Medicare decreased 16% from $249,243 in 2020 to $209,856 in 2024.
- 2020: $249,243
- 2021: $239,943
- 2022: $216,864
- 2023: $171,889
- 2024: $209,856
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 18% from 927 in 2020 to 1,096 in 2024.
- 2020: 927
- 2021: 1,194
- 2022: 1,138
- 2023: 1,332
- 2024: 1,096
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30-day fills
30-day fills increased 12% from 1,015 in 2020 to 1,141 in 2024.
- 2020: 1,015
- 2021: 1,244
- 2022: 1,182
- 2023: 1,411
- 2024: 1,141
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Part D drug cost
Part D drug cost decreased 31% from $12,465 in 2020 to $8,564 in 2024.
- 2020: $12,465
- 2021: $12,761
- 2022: $11,349
- 2023: $13,117
- 2024: $8,564
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $437.47 in 2021 to $78.78 in 2025.
- 2021: $437.47
- 2022: $1,830.70
- 2023: $874.36
- 2024: $234.38
- 2025: $78.78
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $78.78.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Bioventus LLC |
Food and Beverage
In-kind items and services
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BONESCALPEL & SONICONE (O.R.) | General | $40.10 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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INTEllIO LINK WEREWOLF | General | $22.66 |
| SI-BONE, INC. |
Food and Beverage
Cash or cash equivalent
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โ | General | $16.02 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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394 | 295 | $158.34 | $84.43 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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267 | 228 | $242.59 | $118.63 |
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72100
X-ray of lower and sacral spine, 2-3 views
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177 | 149 | $115.57 | $35.70 |
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72148
Mri scan of lower spinal canal without contrast
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118 | 111 | $1250.85 | $177.31 |
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72170
X-ray of pelvis, 1-2 views
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81 | 81 | $96.73 | $24.99 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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60 | 60 | $215.65 | $103.86 |
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72040
X-ray of upper spine, 2-3 views
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51 | 48 | $115.67 | $35.06 |
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22853
Insertion of cage or mesh device to spine bone and disc space during spine fusion
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49 | 36 | $1253.08 | $250.01 |
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63047
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
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44 | 43 | $4365.09 | $937.11 |
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72141
Mri scan of upper spinal canal without contrast
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43 | 42 | $1244.19 | $175.59 |
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72020
X-ray of spine, 1 view
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35 | 21 | $90.23 | $21.95 |
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63048
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
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32 | 22 | $992.13 | $204.27 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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32 | 32 | $337.25 | $157.63 |
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95886
Needle measurement of electrical activity in arm or leg muscles, complete study
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27 | 22 | $185.74 | $83.70 |
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22840
Placement of stabilizing device to back of 1 spine bone in neck
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22 | 22 | $3922.36 | $734.33 |
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95885
Needle measurement of electrical activity in arm or leg muscles, limited study
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22 | 17 | $119.27 | $52.54 |
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22214
Incision or removal of lower spine bone segment
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18 | 18 | $5238.33 | $730.82 |
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22630
Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc
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18 | 18 | $5382.00 | $1518.90 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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16 | 16 | $111.00 | $52.65 |
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22551
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc
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15 | 15 | $7912.53 | $1653.99 |
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95911
Nerve conduction, 9-10 studies
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15 | 14 | $820.93 | $181.33 |
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22845
Placement of stabilizing device to front, 2-3 spine bone segments
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14 | 14 | $3780.50 | $705.62 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 242 | 8,240 | $2,787.23 | 59 |
| Dexamethasone | Dexamethasone | 162 | 855 | $826.70 | 131 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 149 | 1,122 | $1,211.16 | 108 |
| Tizanidine Hcl | Tizanidine Hcl | 113 | 2,545 | $919.22 | 75 |
| Tramadol Hcl | Tramadol Hcl | 98 | 1,002 | $290.49 | 58 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 74 | 591 | $388.32 | 48 |
| Methocarbamol | Methocarbamol | 70 | 1,300 | $517.64 | 50 |
| Pregabalin | Pregabalin | 59 | 1,754 | $588.94 | 17 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 31 | 561 | $123.58 | 18 |
| Diazepam | Diazepam | 22 | 45 | $28.68 | 22 |
| Diclofenac Sodium | Diclofenac Sodium | 22 | 695 | $361.66 | 14 |
| Meloxicam | Meloxicam | 17 | 510 | $46.20 | 11 |
| Celecoxib | Celecoxib | 14 | 540 | $152.47 | โ |
| Ibuprofen | Ibuprofen | 12 | 330 | $49.99 | โ |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 11 | 119 | $271.91 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20120718000781
GA
1759550841
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Georgialina Physical Therapy Associates Llc
1321 Interstate Pkwy, Augusta, GA 309095626
Phone: 7069450810
Augusta Orthopedic And Sports Medicine Specialists, Pc
3650 J Dewey Gray Cir, Augusta, GA 309091867
Phone: 7068639797
Augusta Orthopedic And Sports Medicine Specialists, Pc
2511 Associates Way, Evans, GA 308093106
Phone: 7067223401
Augusta Orthopedic And Sports Medicine Specialists, Pc
811 13th St, Augusta, GA 309012771
Phone: 7067223401
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery
Doctor of Osteopathic Medicine (D.O.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Physician Assistant - Surgical
Physician Assistant (Certified)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 811 13TH ST, SUITE 20, AUGUSTA, GA 309012700 (Tel: 7067223401)
Registered at 811 13TH ST, SUITE 20, AUGUSTA, GA 309012700 (Tel: 7067223401)
Recorded as JOHN CLAPP, M.D.
Orthopaedic Surgery (license number reported to NPPES: GA 67546)
NPI status registered as active in NPPES database
Registered at 811 13TH ST, SUITE 20, AUGUSTA, GA 309012700 (Tel: 7067223401)
Registered at 811 13TH ST, SUITE 20, AUGUSTA, GA 309012700 (Tel: 7067223401)
Recorded as JOHN CLAPP, M.D.
Orthopaedic Surgery (license number reported to NPPES: GA 67546)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Augusta
- Dr. David Doman, MD
- Dr. Stephen Parada, MD
- Dr. Matthew Wood, MD
- Dr. John Bojescul, MD
- Dr. Olubusola Brimmo, MD
- Dr. John Franklin, MD
Mailing Address
811 13th St, Suite 20
Augusta, GA 309012700
Phone: 7067223401