Doctor profile · Federal record
Dr. Clinton Masterson, M.D.
Emergency Medicine Physician · Emergency Medicine Physician · Emergency Medicine Physician · Emergency Medicine Physician · Emergency Medicine Physician · South Lake Tahoe, CA
- NPI 1407067168
- 19 yrs on file
- Licensed in 5 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2170 South Ave
South Lake Tahoe, CA 961507026
(530) 541-3420 - Additional location
-
800 Medical Center Dr
Fairmont, MN 560314575
(507) 238-8100 - Mailing address
-
1111 Emerald Bay RD
South Lake Tahoe, CA 961506207
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- October 19, 2020
- Specialty taxonomy
- 207P00000X — NUCC code
- State licenses (5)
- California #A100433 · New York #234413 · Colorado #44775 · Nevada #12330 · Texas #M7408
- Medicaid (2)
- NV #1407067168 · CA #1407067168
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1407067168. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
287
Distinct HCPCS
4
Medicare allowed
$42,418
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 136 | 127 | $168 | |
99284 |
Emergency department visit with moderate level of medical decision making | 104 | 96 | $116 | |
99291 |
Critical care, first 30-74 minutes | 31 | 29 | $206 | |
99283 |
Emergency department visit with low level of medical decision making | 16 | 15 | $69 |
In context: peer comparison
Among 9 peers in this city , average services per provider: 54. This provider delivers 5.3× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
12
Patients
12
Total drug cost
$183
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cephalexin | Generic | 12 | 12 | $183 |
Frequently asked questions
What is Dr. Clinton Masterson's medical specialty?
Dr. Clinton Masterson practices Emergency Medicine Physician in South Lake Tahoe, CA.
Where does Dr. Clinton Masterson practice?
Dr. Clinton Masterson practices at 2170 South Ave, South Lake Tahoe, CA 961507026. Office phone: 5305413420.
What is Dr. Clinton Masterson's NPI?
Dr. Clinton Masterson's National Provider Identifier (NPI) is 1407067168, issued by NPPES.
What procedures does Dr. Clinton Masterson commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284); Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.