DR. CLYDE HAMILTON MORELAND (MD) – Internal Medicine Physician, NPI 1174569123

DR. CLYDE HAMILTON MORELAND (MD) is a healthcare provider. based in St petersburg, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME63178 (FL). The NPI Number for DR. CLYDE HAMILTON MORELAND (MD) is 1174569123

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLYDE HAMILTON MORELAND (MD)
NPI
1174569123
Phone
(727) 321-3854
Address
3251 3RD AVE N
Enumeration Date
20 June 2006
Last Update Date
18 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7273213854
Graduation Year
1991 (35 years ago)
PAC ID
7416915905
Group Practice PAC ID
2163668286
Professional Enrollment ID
I20041230000215
Address ID
FL337138504ST3251XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for DR. CLYDE HAMILTON MORELAND (MD)

  • 3251, 3rd Avenue North, Live Oak, Saint Petersburg, Pinellas County, Florida, 33713, United States

    ST PETERSBURG, FL 337138506

    Phone: (727) 321-3854

    Fax: (727) 327-7670

    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 95 Open Payments records for all available years, with a total value of $1,983.

Total Amount is formed as General ($1,983) + Research ($0) + Ownership ($0) = $1,983.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Gilead Sciences, Inc. ($1,017).

Total Amount

$1,983

General + Research + Ownership

Payments

95

Total payment records

General Amount

$1,983

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-12-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041230000215IInternal MedicineFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample8557$0
View full utilization report →

Insurance plans in this area (ZIP 33713)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163668286View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Mental Health CounselorFL
Internal Medicine, Infectious DiseaseLA
Nurse PractitionerIL
Nurse PractitionerFL
-HI
Physician AssistantFL
-FL

Reviews

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Frequently asked questions

What identifier follows DR. CLYDE HAMILTON MORELAND (MD) across health systems?
The NPI 1174569123 uniquely identifies DR. CLYDE HAMILTON MORELAND (MD) in U.S. healthcare data.
Should I treat DR. CLYDE HAMILTON MORELAND (MD) as an active provider?
Patients and plans typically see DR. CLYDE HAMILTON MORELAND (MD) as active in the national extract.
How should patients interpret DR. CLYDE HAMILTON MORELAND (MD)'s specialty?
The extract shows Internal Medicine Physician for DR. CLYDE HAMILTON MORELAND (MD). Clinical services aligned with this taxonomy classification.
What city is tied to DR. CLYDE HAMILTON MORELAND (MD)?
The directory associates DR. CLYDE HAMILTON MORELAND (MD) with St Petersburg, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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