DR. CLAY EARL LYDDANE (MD PHD) – Urology Physician, NPI 1760641476
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
109 UROLOGY in KS
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Provider Addresses for DR. CLAY EARL LYDDANE (MD PHD)
3311, East Murdock Street, Wichita, Sedgwick County, Kansas, 67208, United States
WICHITA, KS 672083054
Phone: (316) 689-9185
Fax: (316) 689-9909
Type: Location
1020 Lakeview Ave
Pueblo, CO 810043508
Phone: (719) 557-4700
Fax: (719) 557-4725
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-03-03 • Largest payer in this snapshot: C. R. Bard, Inc. & Subsidiaries ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| C. R. Bard, Inc. & Subsidiaries | $16 |
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: 2024-04-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240425000698 | I | Urology | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,380 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 663 | 454 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 457 | 334 | $0 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 295 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 209 | 185 | $0 |
Insurance plans in this area (ZIP 67208)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | CO | |
| - | CO | |
| - | MO | |
| Physician Assistant | CO | |
| - | CO | |
| Hospitalist, Internal Medicine | NY | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO |
Reviews
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