TAMARA R CLANCY (MD) – Orthopaedic Hand Surgery Physician, NPI 1003861923
Orthopaedic Hand Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TAMARA R CLANCY (MD)
3635, South Clyde Morris Boulevard, The Groves Apartments, Port Orange, Volusia County, Florida, 32129, United States
SUITE 900
PORT ORANGE, FL 321292300
Phone: (386) 788-4263
Fax: (386) 788-0679
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2023-11-13 • Largest payer in this snapshot: AXOGEN ($20).
Total Amount
$39
General + Research + Ownership
Payments
2
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AXOGEN | $20 |
| BIOTISSUE HOLDINGS, INC. | $19 |
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: 2004-05-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20040519000429 | I | Hand Surgery | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 533 | 327 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 509 | 260 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 273 | 221 | $0 |
| 20550 | Injection into tendon or ligament | 219 | 149 | $0 |
| 73130 | X-ray of hand, minimum of 3 views | 204 | 136 | $0 |
Insurance plans in this area (ZIP 32129)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| General Surgery, Hand Surgery | FL |
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