MATTHEW A CLISSOLD M.D.
NPI 1427007293
Anesthesiology in Logan, UT
NPI Status: Active since May 09, 2006
Contact Information
274 N MAIN ST
LOGAN, UT
ZIP 84321
Phone: (435) 753-1600
Fax: (435) 753-9521
- Individual
- Male
- Anesthesiology
- Accepts Insurance
- PECOS Enrolled
About MATTHEW CLISSOLD
This page provides the complete NPI Profile along with additional information for Matthew Clissold, an anesthesiologist established in Logan, Utah with a medical specialization in Anesthesiology. The healthcare provider is registered in the NPI registry with number 1427007293 assigned on May 2006. The practitioner's primary taxonomy code is 207L00000X with license number 178712-1205 (UT). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1427007293
- Provider Name
- MATTHEW A CLISSOLD M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 274 N MAIN ST LOGAN, UT 84321
- Location Phone
- (435) 753-1600
- Location Fax
- (435) 753-9521
- Mailing Address
- 274 N MAIN ST LOGAN, UT 84321
- Mailing Phone
- (435) 753-1600
- Mailing Fax
- (435) 753-9521
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-09-2006
- Last Update Date
- 07-08-2007
- Code Navigator
An anesthesiologist like Matthew Clissold manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology
- Taxonomy Code
- 207L00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 178712-1205
- License State
- UT
- Taxonomy Description
- An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Value Benchmark Platinum - HMO
- Value Benchmark Platinum Standardized Plan - HMO
- Value Benchmark Silver 5900 Medical Deductible - HMO
- Value Benchmark Silver Standardized Plan - HMO
- Value Expanded Bronze 6900 Medical Deductible - HMO
- Value Gold 1500 Medical Deductible - HMO
- Value Silver 3000 Medical Deductible - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E90584 | MEDICARE UPIN (02) | UT | |
| 870550181001 | MEDICAID (05) | UT |
Medicare Participation & PECOS Enrollment Status
Matthew Clissold is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 0 | 0 | 7 | 2 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 0 | 0 | 14 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 0 + 0 + 1 + 4 + 2 + 1 + 8 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1427007293 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790788503 | DR. JAMES T MALOUF M.D. Individual | Orthopaedic Surgery | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1194774711 | RICHARD B PALFREYMAN M.D. Individual | Anesthesiology | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1346299948 | COURTNEY R SKABELUND M.D. Individual | Anesthesiology | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1205886462 | CRAIG BURDETT P.A. Individual | Physician Assistant | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1033169198 | PETER C DAINES Individual | Anesthesiology | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1164472015 | LYMAN B STEVENS M.D. Individual | Anesthesiology | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1285684050 | MICHAEL L BROADBENT D.O. Individual | Anesthesiology | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1346290335 | SHANE T GONZALES M.D. Individual | Anesthesiology | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1760432702 | BRIAN D NELSON M.D. Individual | Anesthesiology | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1417907296 | FRANK E PETERSON M.D. Individual | Anesthesiology | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1013967801 | JON R ROBISON M.D. Individual | Anesthesiology | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1336162924 | WESLEY S MORTENSEN MD Individual | Anesthesiology | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1235232646 | EDWIN MARLOWE GOBLE MD Individual | Orthopaedic Surgery | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1376894022 | DYNAMIC COMMUNICATION Organization | Speech-Language Pathologist | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1104852599 | VIKAS GARG M.D. Individual | Anesthesiology (Pain Medicine) | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1649407172 | MICHAEL J AUSTIN M.D. Individual | Anesthesiology | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1730379322 | DARREN V ANDERSON M.D. Individual | Anesthesiology | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1770533622 | JEFRI A WILLIAMS D.O. Individual | Anesthesiology | 274 N MAIN ST LOGAN, UT 84321 (435) 753-1600 |
| 1336699339 | DOLORES MICHAEL LMFT Individual | Marriage & Family Therapist | 274 N MAIN ST LOGAN, UT 84321 (435) 881-0584 |
| 1457704405 | BECKY L SPOTTEN CMHC, LPC Individual | Counselor (Professional) | 274 N MAIN ST LOGAN, UT 84321 (435) 200-5507 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427007293, enumerated in the NPI registry as an "individual" on May 09, 2006
The provider is located at 274 N Main St Logan, Ut 84321 and the phone number is (435) 753-1600
The provider's speciality is Anesthesiology with taxonomy code 207L00000X
The provider might be accepting Accepts: Molina Healthcare, Select Health, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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