CLINTON L. KAUFFMAN (MD) – Family Medicine Physician, NPI 1013062686

CLINTON L. KAUFFMAN (MD) is a healthcare provider. based in Winamac, Indiana. specializing in FAMILY PRACTICE, OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 01057944A (IN). The NPI Number for CLINTON L. KAUFFMAN (MD) is 1013062686

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
CLINTON L. KAUFFMAN (MD)
NPI
1013062686
Phone
(574) 946-2194
Address
540 HOSPITAL DR
Enumeration Date
24 January 2007
Last Update Date
13 March 2020

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
5749462100
Graduation Year
1993 (33 years ago)
PAC ID
8325017957
Group Practice PAC ID
3173515509
Professional Enrollment ID
I20070828000370
Address ID
IN469961117WI616XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,861 FAMILY PRACTICE in IN

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Provider Addresses for CLINTON L. KAUFFMAN (MD)

  • 540, Hospital Drive, Winamac, Pulaski County, Indiana, 46996, United States

    WINAMAC, IN 46996

    Phone: (574) 946-2194

    Fax: (574) 946-2196

    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: 2007-08-28

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
I20070828000370IFamily PracticeINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46996)

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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: 3173515509View full group profile
NameSpecialtyState
Clinical Social WorkerIN
O P H T H A L M O L O G YIN
-IN
Nurse PractitionerIN
Nurse PractitionerIN
Emergency Medicine, General SurgeryMI
Nurse PractitionerIN
Clinical Social WorkerIN
-IN
Family PracticeIN

Reviews

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Frequently asked questions

What federal number belongs to CLINTON L. KAUFFMAN (MD)?
The federal identifier for CLINTON L. KAUFFMAN (MD) is NPI 1013062686.
Is CLINTON L. KAUFFMAN (MD)'s NPI currently valid?
The extract we use shows CLINTON L. KAUFFMAN (MD) as active.
Does CLINTON L. KAUFFMAN (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for CLINTON L. KAUFFMAN (MD). Clinical services aligned with this taxonomy classification.
What location shows for CLINTON L. KAUFFMAN (MD)?
We surface Winamac, Indiana for CLINTON L. KAUFFMAN (MD) based on available NPPES addresses.
How can I contact CLINTON L. KAUFFMAN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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