DR. CLINTON JAY MOHR (M.D.) – Internal Medicine Physician, NPI 1356427736

DR. CLINTON JAY MOHR (M.D.) is a healthcare provider. based in Marion, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2006030252 (MO). The NPI Number for DR. CLINTON JAY MOHR (M.D.) is 1356427736

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLINTON JAY MOHR (M.D.)
NPI
1356427736
Phone
(618) 997-2396
Address
1008 W CHERRY ST
Enumeration Date
28 October 2006
Last Update Date
16 September 2010

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6182445500
Graduation Year
2001 (25 years ago)
PAC ID
6709963291
Group Practice PAC ID
7113167446
Professional Enrollment ID
I20080408000672
Address ID
IL628646224MO8XXXXPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

8,856 INTERNAL MEDICINE in IL

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Provider Addresses for DR. CLINTON JAY MOHR (M.D.)

  • 1008, West Cherry Street, Marion, Williamson County, Illinois, 62959, United States

    STE D

    MARION, IL 629591998

    Phone: (618) 997-2396

    Fax: (618) 997-1901

    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)

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: 2008-04-08

PECOS data refreshed: 2026-06-15

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
I20080408000672IInternal MedicineILTBD

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
99284Emergency department visit with moderate level of medical decision making154145$0
99285Emergency department visit with high level of medical decision making151144$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5250$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 62959)

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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: 7113167446View full group profile
NameSpecialtyState
Emergency MedicineNY
-IL
Emergency MedicinePA
Emergency MedicineIL
Family PracticeIL
-IL
Family PracticeLA
Family PracticeWV
Emergency Medicine, Emergency Medicine, Family PracticeAR
Family PracticeCT

Reviews

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Frequently asked questions

Can I verify DR. CLINTON JAY MOHR (M.D.) with an NPI only?
You can start verification with NPI 1356427736 for DR. CLINTON JAY MOHR (M.D.), then check state licensing separately.
Is DR. CLINTON JAY MOHR (M.D.) listed as active for patients and plans?
The listing shows DR. CLINTON JAY MOHR (M.D.) as active in the NPI system.
What healthcare role does DR. CLINTON JAY MOHR (M.D.) hold?
Scheduling teams often label DR. CLINTON JAY MOHR (M.D.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. CLINTON JAY MOHR (M.D.) based?
DR. CLINTON JAY MOHR (M.D.) is tied to Marion, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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