DR. CLYDE CORWIN CLYBOURN (MD) – Internal Medicine Physician, NPI 1043391758
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for DR. CLYDE CORWIN CLYBOURN (MD)
Blue Lagoon Drive, Miami-Dade County, Florida, 33126, United States
MIAMI, FL 331262051
Phone: (305) 500-2027
Fax: (305) 500-2155
Type: Mailing
10435 Vista Del Sol Dr
El Paso, TX 799257920
Phone: (915) 591-6229
Fax: (915) 206-6385
Type: Location
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone: (844) 630-0700
Fax: (877) 374-1924
Type: Mailing
East Cliff Drive, El Paso, El Paso County, Texas, 79968, United States
EL PASO, TX 799024734
Phone: (915) 591-6226
Fax: (915) 308-9433
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $524.
Total Amount is formed as General ($524) + Research ($0) + Ownership ($0) = $524.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Amgen Inc. ($282).
Total Amount
$524
General + Research + Ownership
Payments
13
Total payment records
General Amount
$524
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $282 |
| Abbott Laboratories | $153 |
| Novo Nordisk Inc | $33 |
| Lilly USA, LLC | $24 |
| PFIZER INC. | $17 |
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: 2008-06-07
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 |
|---|---|---|---|---|
| I20080607000023 | I | Internal Medicine | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 26 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 19 | 19 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 33126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Family Practice | TX | |
| Family Practice | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Family Practice | NJ | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine, Hospice/Palliative Care | TX | |
| Internal Medicine | MS |
Reviews
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