DR. DERRICK OLIVER CLUNIS (MD) – Pediatrics Physician, NPI 1407832579
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,309 PEDIATRIC MEDICINE in FL
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Provider Addresses for DR. DERRICK OLIVER CLUNIS (MD)
191, Mill Street, Rockport, Knox County, Maine, 04856, United States
PROVIDER ENROLLMENT DEPARTMENT
ROCKLAND, DE 197320191
Phone: (302) 651-6212
Fax: (302) 651-4945
Type: Mailing
Nemours Children's Hospital, 13535, Nemours Parkway, Medical City, Orlando, Orange County, Florida, 32827, United States
NEMOURS CHILDRENS HOSPITAL
ORLANDO, FL 328277402
Phone: (407) 567-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-07-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040517000344 | I | Pediatric Medicine | FL | TBD |
| I20140318000295 | I | Pediatric Medicine | SC | TBD |
| I20210712003291 | I | Hospitalist | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19732)
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