CLEMENT JOSEPH III MCDONALD (M.D.) – Otolaryngology Physician, NPI 1376604488
Otolaryngology Physician
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Profile Insights
NPPES metrics only — not quality of care.
242 OTOLARYNGOLOGY in IN
Provider Addresses for CLEMENT JOSEPH III MCDONALD (M.D.)
2320 Concord Rd Ste A
Lafayette, IN 479092710
Phone: (765) 477-7436
Fax: (765) 477-1245
Type: Location
1400 N Ritter Ave Ste 230
Indianapolis, IN 462193046
Phone: (317) 355-2960
Fax: (317) 355-2969
Type: Location
10201 N ILLINOIS ST STE 110
CARMEL, IN 462901172
Phone: (317) 819-4516
Fax: (317) 819-0044
Type: Mailing
Price Vision Group, 9002, North Meridian Street, Spring Mill Woods, Spring Hollow, Indianapolis, Indiana, 46260, United States
STE 222
INDIANAPOLIS, IN 462605381
Phone: (317) 819-4516
Fax: (317) 819-0044
Type: Mailing
1115, Ronald Reagan Parkway, Avon, Hendricks County, Indiana, 46123, United States
STE 255
AVON, IN 461236910
Phone: (317) 217-2255
Fax: (317) 819-0044
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $483.
Total Amount is formed as General ($483) + Research ($0) + Ownership ($0) = $483.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($337).
Total Amount
$483
General + Research + Ownership
Payments
15
Total payment records
General Amount
$483
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-03-21
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 |
|---|---|---|---|---|
| I20070321000142 | I | Otolaryngology | IN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 208 | 162 | $0 |
| 69210 | Removal of impacted ear wax | 151 | 100 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 149 | 114 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 129 | 129 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 104 | 104 | $0 |
Insurance plans in this area (ZIP 47909)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | IN | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 36 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| O T O L A R Y N G O L O G Y | IN | |
| Qualified Audiologist | IN | |
| Physician Assistant | IN | |
| - | IN | |
| O T O L A R Y N G O L O G Y | IN | |
| - | IN |
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