DR. SAMUEL GRAY MCCLATCHY M.D. NPI 1356796684

NPI Information

  • NPI: 1356796684
  • Provider Name: DR. SAMUEL GRAY MCCLATCHY, M.D.
  • Classification: Orthopaedic Surgery - 207XX0005X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3317 N WIMBERLY DR
    FAYETTEVILLE, AR
    ZIP 72703
  • Phone: (479) 521-2752

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NPI Details

DR. Samuel Gray Mcclatchy, M.D. is a sports medicine orthopaedic surgery in Fayetteville, AR with 10 years of experience. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. DR. Samuel Gray Mcclatchy, M.D. NPI is 1356796684. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

3317 N WIMBERLY DR
FAYETTEVILLE, AR
ZIP 72703-056
Phone: (479) 521-2752
Fax: (479) 521-4603

The NPI 1356796684 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • X-ray of knee, 3 views (HCPCS:73562)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Knee replacement (HCPCS:NAN06)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 4/23/2016 and was last updated on 8/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery28373MISSISSIPPINo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207XX0005XOrthopaedic SurgerySports MedicineE-15633ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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