CLARENCE L NICODEMUS (PHD DO) – Neuromusculoskeletal Medicine & OMM Physician, NPI 1063690535
Neuromusculoskeletal Medicine & OMM Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
158 OSTEOPATHIC MANIPULATIVE MEDICINE in MI
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Provider Addresses for CLARENCE L NICODEMUS (PHD DO)
Service Road, East Lansing, Ingham County, Michigan, 48824, United States
EAST LANSING, MI 488247015
Phone: (517) 884-2976
Fax: (517) 432-3928
Type: Mailing
804 SERVICE RD STE A109B
EAST LANSING, MI 488247015
Phone: (517) 432-6144
Fax: (517) 432-6150
Type: Mailing
Norton Eye Care, 4660, South Hagadorn Road, Okemos, Meridian Charter Township, Ingham County, Michigan, 48823, United States
SUITE 500
EAST LANSING, MI 488235376
Phone: (517) 432-6144
Fax: (517) 432-6150
Type: Location
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: 2016-09-23
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 |
|---|---|---|---|---|
| I20160923000188 | I | Osteopathic Manipulative Medicine | MI | 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 | 90 | 19 | $0 |
| 98926 | Osteopathic manipulative treatment, 3-4 body regions | 38 | 11 | $0 |
Insurance plans in this area (ZIP 48824)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Osteopathic Manipulative Medicine | MI | |
| Osteopathic Manipulative Medicine | MI | |
| Family Practice | MI | |
| Osteopathic Manipulative Medicine | MI | |
| - | MI | |
| Physical Medicine And Rehabilitation, Osteopathic Manipulative Medicine | MI | |
| - | MI | |
| Internal Medicine | MI | |
| P S Y C H I A T R Y | MI | |
| - | MI |
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