DR. LINDA SUE CLONCH (M.D.) – Family Medicine Physician, NPI 1487611166

DR. LINDA SUE CLONCH (M.D.) is a healthcare provider. based in St augustine, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME48434 (FL). The NPI Number for DR. LINDA SUE CLONCH (M.D.) is 1487611166

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. LINDA SUE CLONCH (M.D.)
NPI
1487611166
Phone
(904) 826-3469
Address
130 HEALTH PARK BLVD
Enumeration Date
27 April 2006
Last Update Date
23 July 2008

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9048263469
Graduation Year
1983 (43 years ago)
PAC ID
3476685074
Group Practice PAC ID
9335114347
Professional Enrollment ID
I20100716000809
Address ID
FL320865776ST130XXBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Loading map...

Provider Addresses for DR. LINDA SUE CLONCH (M.D.)

  • 130, Health Park Boulevard, St. Augustine South, Saint Johns County, Florida, 32086, United States

    ST AUGUSTINE, FL 320865776

    Phone: (904) 826-3469

    Fax: (904) 808-4608

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,069.

Total Amount is formed as General ($1,069) + Research ($0) + Ownership ($0) = $1,069.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: PFIZER INC. ($216).

Total Amount

$1,069

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,069

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-07-16

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
I20100716000809IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes690270$0
99213Established patient office or other outpatient visit, 20-29 minutes289171$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit260260$0
G0008Administration of influenza virus vaccine8583$0
90662Influenza vaccine split virus, preservative free8482$0
View full utilization report →

Insurance plans in this area (ZIP 32086)

Loading plans...

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: 9335114347View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up DR. LINDA SUE CLONCH (M.D.) by NPI?
Use NPI 1487611166 when you need to reference DR. LINDA SUE CLONCH (M.D.) in forms, claims, or directories.
Does this profile mean DR. LINDA SUE CLONCH (M.D.) is currently active?
Yes — DR. LINDA SUE CLONCH (M.D.) appears active in the national provider directory.
Does DR. LINDA SUE CLONCH (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. LINDA SUE CLONCH (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. LINDA SUE CLONCH (M.D.)?
We surface St Augustine, Florida for DR. LINDA SUE CLONCH (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

DR. MARY ELIZABETH RAY (D.O.)

Family Medicine Physician
316 PASEO REYES DR
NPI: 1306846795

MICHAEL CLORE SANDERS (MD)

Family Medicine Physician
301 HEALTH PARK BLVD
NPI: 1003817040

DR. MELCHOR G BARROS (MD)

Family Medicine Physician
1301 PLANTATION ISLAND DR S
NPI: 1013900893

DONALD E KENNEDY (DO)

Family Medicine Physician
2460, Old Moultrie Road, St. Augustine, St. Johns County, Florida, 32086, United States
NPI: 1447233408

DR. ELISA CRUZ VEGERANO (M.D.)

Family Medicine Physician
220 PRESIDENTS CUP WAY
NPI: 1609850502

KENNETH R HITZ (MD)

Family Medicine Physician
1302, River Street, Palatka, Putnam County, Florida, 32177, United States
NPI: 1326022195

DR. GERALD EDWIN JR. TOWNSEND (M.D.)

Family Medicine Physician
South Dixie Highway, West Augustine, Saint Augustine, Saint Johns County, Florida, 32084, United States
NPI: 1588641120

DR. JULIE DEAUN GRAVES (MD)

Family Medicine Physician
212 DESOTO RD
NPI: 1093794265

DR. TERESA MARIE BRENNAN (D.O.)

Family Medicine Physician
100, Arricola Avenue, Davis Shores, St. Augustine, St. Johns County, Florida, 32080, United States
NPI: 1154391753