DR. THOMAS A CLAGETT (MD) – Family Medicine Physician, NPI 1053846113
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
971 FAMILY PRACTICE in ID
Provider Addresses for DR. THOMAS A CLAGETT (MD)
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Phone: (208) 625-4000
Type: Location
3090 N 12th St Unit B
Grand Junction, CO 815062804
Phone: (970) 241-2212
Type: Location
2064 W FREELAND DR
COEUR D ALENE, ID 838157084
Phone: (303) 641-3446
Type: Mailing
816, South 5th Street, Montrose, Montrose County, Colorado, 81401, United States
MONTROSE, CO 814015765
Phone: (970) 249-3322
Fax: (970) 240-7976
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-05-15
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 |
|---|---|---|---|---|
| I20200515002439 | I | Family Practice | CO | 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 | 405 | 211 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 217 | 147 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 91 | 91 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 74 | 51 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 43 | 43 | $0 |
Insurance plans in this area (ZIP 83814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Clinical Social Worker | TX | |
| Physical Therapist In Private Practice | CO | |
| Nurse Practitioner | CO | |
| Family Practice | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO | |
| Clinical Social Worker | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO |
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