Clinton James Masterson, M.D.
NPI 1407067168ActiveIndividual· Emergency Medicine· South Lake Tahoe, CA
Emergency Medicine (M.D.) in South Lake Tahoe, California, licensed in CA, NY, CO and NV and other states, with an NPI issued in May 2007. 238 Medicare patients in 2024, $34,420 paid; nearly all of their 173 Part D prescriptions were generic (95%).
Overview
| NPI | 1407067168 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 24, 2007 |
| Last updated in NPPES | Oct 19, 2020 |
| Certified by provider | Oct 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | A100433 | CA |
| Emergency Medicine | 207P00000X | 234413 | NY |
| Emergency Medicine | 207P00000X | 44775 | CO |
| Emergency Medicine | 207P00000X | 12330 | NV |
| Emergency Medicine | 207P00000X | M7408 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (CO); Practitioner - Emergency Medicine (MN); Practitioner - Emergency Medicine (NV); Practitioner - Emergency Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 238 |
|---|---|
| Services billed | 313 across 16 procedure codes |
| Paid by Medicare | $34,420 |
Part D prescriptions in 2024
| Prescriptions (claims) | 173 · 176 30-day fills |
|---|---|
| Patients | 112 |
| Total drug cost | $2,040 |
| Generic share | 95% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 21 emergency medicine physicians in South Lake Tahoe · All emergency medicine physicians in California