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Dr. Tim A Clanton , DC

Chiropractor • Kirkland, WA

Active NPI 1174516231 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

13030 121st Way Ne, Suite 102
Kirkland, WA 980347210

Call 4258142800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

13030 121st Way Ne
Suite 102

Kirkland, WA 980347210

Telephone 4258142800
Fax 4258230882
Organization at the Same NPPES Address or Phone
Pediatric Associates, Inc., P.s. Dba Allegro Pediatrics Facility NPI 1396819041

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Functional Health Consulting 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

Graduation Year

2001

Medicare patients

66 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $19,189 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.

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 – by Provider and Service, 2024.

Paid by Medicare

About $13,583 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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 – by Provider and Service, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

25 years (graduated 2001)

CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional 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

2005

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.

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, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Clanton 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.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Kirkland and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Chiropractor in Kirkland, WA (2024, 15 clinicians with data). Median for this group: 189. Middle half: 164 to 382.

More Medicare Part B services than 65% of clinicians listed under Chiropractor in Washington (2024, 975 clinicians with data). Median for this group: 332. Middle half: 183 to 595.

Medicare-allowed amount

A higher Medicare-allowed amount than 75% of clinicians listed under Chiropractor in Kirkland, WA (2024, 15 clinicians with data). Median for this group: $7,872. Middle half: $6,121 to $15,828.

A higher Medicare-allowed amount than 65% of clinicians listed under Chiropractor in Washington (2024, 975 clinicians with data). Median for this group: $12,959. Middle half: $7,187 to $22,851.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Chiropractor in Kirkland, WA (2024, 15 clinicians with data). Median for this group: $5,769. Middle half: $4,568 to $11,183.

A higher Medicare payment amount than 65% of clinicians listed under Chiropractor in Washington (2024, 975 clinicians with data). Median for this group: $8,958. Middle half: $4,962 to $16,171.

59 active clinicians are listed under Chiropractor with a practice address in Kirkland, WA (3,009 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kirkland

0% of these 59 clinicians have the CMS telehealth indicator.

32.2% of these 59 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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
98941 Chiropractic manipulative treatment, 3-4 spinal regions
389 51 $75.00 $42.85
98940 Chiropractic manipulative treatment, 1-2 spinal regions
84 17 $50.00 $30.00

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.

Specialties & License Numbers Reported to NPPES

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES WA CH00034011

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
8423345 (WA)
Other Identifier Regence Blue Shield
4011CL
Other Identifier Federal Worker's Comp
192264900
Other Identifier Labor & Industries
0189969 (WA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20040206000193

Enrollment State Jurisdiction

WA

PECOS Control ID

3779476353

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

Functional Health Consulting Llc

2014 E Madison St, Seattle, WA 981222965

Phone: 2067269551

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
NPI 1932822806

Doctor of Chiropractic

John Chevigny

Chiropractor

NPI 1669860052
Dr. Kasey Cottrill , DPT

Physical Therapist

NPI 1700499480

Doctor of Physical Therapy

NPI 1801889951

Doctor of Chiropractic

NPI 1689667743

Doctor of Chiropractic

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
âś…
NPI Profile Active February 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 19, 2018

Registered at 13030 121ST WAY NE, SUITE 102, KIRKLAND, WA 980347210 (Tel: 4258142800)

📍
Updated Business Mailing Address February 19, 2018

Registered at 13030 121ST WAY NE, SUITE 102, KIRKLAND, WA 980347210 (Tel: 4258142800)

👤
Provider Name / Credentials Updated February 19, 2018

Recorded as TIM CLANTON, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2018

Chiropractor (license number reported to NPPES: WA CH00034011)

âś…
NPI Profile Active November 01, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) November 01, 2007

Registered at 11821 NE 128TH ST STE B, KIRKLAND, WA 980347210 (Tel: 4258142800)

📍
Business Mailing Address (Initial Record) November 01, 2007

Registered at 11821 NE 128TH ST STE B, KIRKLAND, WA 980347210 (Tel: 4258142800)

👤
Provider Name / Credentials (Initial Record) November 01, 2007

Recorded as TIM CLANTON, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2007

Chiropractor (license number reported to NPPES: WA CH00034011)

🟢
Initial NPI Registration & Enumeration August 24, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174516231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2005
Last Update: February 19, 2018
Sole Proprietor: Yes

Other Chiropractors in Kirkland

All Chiropractors in Kirkland

Mailing Address

13030 121st Way Ne, Suite 102

Kirkland, WA 980347210

Phone: 4258142800

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.