VIVIAN C FAIRCLOTH (MD) – Neurology Physician, NPI 1427009521
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,847 NEUROLOGY in FL
Provider Addresses for VIVIAN C FAIRCLOTH (MD)
717 Imar Dr
Sun City Center, FL 335735368
Phone: (813) 634-3500
Fax: (813) 634-4900
Type: Location
200 3rd Ave W Ste 110
Bradenton, FL 342058628
Phone: (941) 746-3115
Fax: (941) 746-3201
Type: Location
3421 CONCORD RD
YORK, PA 174029001
Phone: (717) 851-5503
Fax: (717) 851-5507
Type: Mailing
367, South Gulph Road, Gulph Mills Village, King of Prussia, Upper Merion Township, Montgomery County, Pennsylvania, 19406, United States
ATT: IPM CREDENTIALING
KING OF PRUSSIA, PA 194063121
Phone: (610) 382-4943
Fax: (610) 878-3965
Type: Mailing
3rd Avenue West, Bradenton, Manatee County, Florida, 34205, United States
BRADENTON, FL 342058628
Phone: (941) 746-3115
Fax: (941) 746-3201
Type: Location
1695 ROOSEVELT AVE STE B
YORK, PA 174088521
Phone: (717) 851-5503
Fax: (717) 798-3510
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $873.
Total Amount is formed as General ($873) + Research ($0) + Ownership ($0) = $873.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($597).
Total Amount
$873
General + Research + Ownership
Payments
38
Total payment records
General Amount
$873
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $597 |
| PFIZER INC. | $99 |
| Neurelis, Inc. | $95 |
| Lilly USA, LLC | $40 |
| Lundbeck LLC | $29 |
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: 2016-10-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070815000130 | I | Neurology | PA | TBD |
| I20161005002493 | I | Neurology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 159 | 117 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 121 | 98 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 93 | 85 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 38 | 38 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 33573)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| - | PA | |
| - | PA | |
| N E U R O L O G Y | SC | |
| Physician Assistant | PA | |
| Hospitalist, Internal Medicine | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Physician Assistant | PA | |
| Family Practice | PA | |
| Internal Medicine, Pulmonary Disease, Sleep Medicine | PA |
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