MR. THOMAS LEE MILLARD (PHD) – Clinical Psychologist, NPI 1003929274

MR. THOMAS LEE MILLARD (PHD) is a healthcare provider. based in Clinton, Iowa. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. The NPI Number for MR. THOMAS LEE MILLARD (PHD) is 1003929274

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. THOMAS LEE MILLARD (PHD)
NPI
1003929274
Phone
(563) 243-6054
Address
1523 S BLUFF BLVD
Enumeration Date
15 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5632436054
Graduation Year
1996 (30 years ago)
PAC ID
9638148133
Group Practice PAC ID
1052380813
Professional Enrollment ID
I20051021000361
Address ID
IA527326549CL1523XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

192 CLINICAL PSYCHOLOGIST in IA

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Provider Addresses for MR. THOMAS LEE MILLARD (PHD)

  • 1523, South Bluff Boulevard, Clinton, Clinton County, Iowa, 52732, United States

    CLINTON, IA 527326549

    Phone: (563) 243-6054

    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: 2005-10-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051021000361IClinical PsychologistIATBD

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
90837Psychotherapy, 1 hour13212$0
90791Psychiatric diagnostic evaluation1111$0
View full utilization report →

Insurance plans in this area (ZIP 52732)

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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: 1052380813View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
-IA
-IA
Clinical Social WorkerIA
Clinical Social WorkerIA

Reviews

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Frequently asked questions

Is there an official ID for MR. THOMAS LEE MILLARD (PHD) in U.S. healthcare records?
The official identifier for MR. THOMAS LEE MILLARD (PHD) is NPI 1003929274.
Is there an active status for MR. THOMAS LEE MILLARD (PHD)?
For scheduling context, MR. THOMAS LEE MILLARD (PHD) is shown as active in the registry.
What kind of doctor is MR. THOMAS LEE MILLARD (PHD)?
MR. THOMAS LEE MILLARD (PHD) is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is MR. THOMAS LEE MILLARD (PHD) associated with Clinton?
Public fields place MR. THOMAS LEE MILLARD (PHD) around Clinton, Iowa. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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