Clayton M Dalton, MD - Medicare Emergency Medicine in Gallup, NM

Clayton M Dalton, MD is a medicare enrolled "Emergency Medicine" physician in Gallup, New Mexico. His current practice location is 516 E Nizhoni Blvd, Gallup, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 722-1000.

Clayton M Dalton is licensed to practice in New Mexico (license number MD2021-0213) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174972293.

Contact Information

Clayton M Dalton, MD
516 E Nizhoni Blvd,
Gallup, NM 87301-5748
(505) 722-1000
Not Available

Map and Direction




Physician's Profile

Full NameClayton M Dalton
GenderMale
SpecialityEmergency Medicine
Location516 E Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174972293
  • Provider Enumeration Date: 06/09/2016
  • Last Update Date: 07/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941596696
  • Enrollment ID: I20201120000363

Medical Identifiers

Medical identifiers for Clayton M Dalton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174972293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD2021-0213 (New Mexico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Clayton M Dalton allows following entities to bill medicare on his behalf.
Entity NameDhhs,phs,naihs, Gallup Indian Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225002322
PECOS PAC ID: 3173436409
Enrollment ID: O20031111000840
Entity NameDhhs Phs Naihs Crownpoint Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114960093
PECOS PAC ID: 0143128041
Enrollment ID: O20031230000393

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clayton M Dalton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clayton M Dalton, MD
504 Apache Ct,
Gallup, NM 87301-4690

Ph: (713) 412-1963
Clayton M Dalton, MD
516 E Nizhoni Blvd,
Gallup, NM 87301-5748

Ph: (505) 722-1000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.