DR. THOMAS E VAN DER KLOOT (M.D.) – Pulmonary Disease Physician, NPI 1720190044
Pulmonary Disease Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
88 PULMONARY DISEASE in ME
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Provider Addresses for DR. THOMAS E VAN DER KLOOT (M.D.)
100, Foden Road, South Portland Gardens, South Portland, Cumberland County, Maine, 04106, United States
WEST BUILDING SUITE 103
SOUTH PORTLAND, ME 04106
Phone: (207) 828-1122
Fax: (207) 828-0188
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.
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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: 2004-12-13
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 |
|---|---|---|---|---|
| I20041213000723 | I | Pulmonary Disease | ME | 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 | 107 | 99 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 65 | 51 | $0 |
| 99291 | Critical care, first 30-74 minutes | 60 | 41 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 45 | 44 | $0 |
| 94375 | Test to measure rate of airflow | 44 | 42 | $0 |
Insurance plans in this area (ZIP 04106)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | ME | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Pediatric Medicine, Sleep Medicine | ME | |
| Physician Assistant | ME | |
| Emergency Medicine | ME | |
| Pulmonary Disease | ME | |
| Nurse Practitioner | NJ | |
| Critical Care (Intensivists) | ME | |
| - | ME | |
| Pulmonary Disease | MA | |
| Physician Assistant | ME | |
| Clinical Psychologist | ME |
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