DR. CHARLES MACINTOSH CLIFFE (M.D.) – Cardiovascular Disease Physician, NPI 1417930256

DR. CHARLES MACINTOSH CLIFFE (M.D.) is a healthcare provider. based in Saint paul, Minnesota. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 36504 (MN). The NPI Number for DR. CHARLES MACINTOSH CLIFFE (M.D.) is 1417930256

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES MACINTOSH CLIFFE (M.D.)
NPI
1417930256
Phone
(651) 292-0616
Address
225 SMITH AVE N
Enumeration Date
25 November 2005
Last Update Date
21 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
6517589500
Graduation Year
1987 (39 years ago)
PAC ID
6103723762
Group Practice PAC ID
0042109258
Professional Enrollment ID
I20101102001055
Address ID
MN551023828SA1026XWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

822 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MN

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Provider Addresses for DR. CHARLES MACINTOSH CLIFFE (M.D.)

  • Smith Avenue North, West Seventh - Fort Road, Saint Paul, Ramsey County, Minnesota, 55102, United States

    SUITE 500

    SAINT PAUL, MN 551022534

    Phone: (651) 292-0616

    Fax: (651) 726-7256

    Type: Location

  • 5785 LAKE AVE

    WHITE BEAR LAKE, MN 551102364

    Phone: (612) 940-6512

    Type: Mailing

  • 1026 7TH ST W

    SAINT PAUL, MN 551023828

    Phone: (651) 758-9500

    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: 2004-02-23

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040223000991ICardiovascular Disease (Cardiology)MNTBD

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
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function165164$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only161137$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10156$0
99214Established patient office or other outpatient visit, 30-39 minutes9490$0
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician7272$0
View full utilization report →

Insurance plans in this area (ZIP 55102)

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Provider's Procedures

DR. CHARLES MACINTOSH CLIFFE (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)MN93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report2828

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: 0042109258View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)MN
Physician AssistantMN
Nurse PractitionerMN
Nurse PractitionerMN
-MN
Certified Nurse Midwife (Cnm)MN
Family PracticeMN
Clinical PsychologistMN
Physician AssistantMN
Physician AssistantMN

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Frequently asked questions

What NPI should I save for DR. CHARLES MACINTOSH CLIFFE (M.D.)?
Save NPI 1417930256 if you need a stable reference for DR. CHARLES MACINTOSH CLIFFE (M.D.).
Does this profile mean DR. CHARLES MACINTOSH CLIFFE (M.D.) is currently active?
Yes — DR. CHARLES MACINTOSH CLIFFE (M.D.) appears active in the national provider directory.
What does DR. CHARLES MACINTOSH CLIFFE (M.D.) treat or focus on?
Patients typically see DR. CHARLES MACINTOSH CLIFFE (M.D.) under the specialty Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. CHARLES MACINTOSH CLIFFE (M.D.)?
The page summarizes Saint Paul, Minnesota for DR. CHARLES MACINTOSH CLIFFE (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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