MR. CLINT L VANLANDINGHAM (DPM) – Podiatrist, NPI 1508838566

MR. CLINT L VANLANDINGHAM (DPM) is a healthcare provider. based in Poplar bluff, Missouri. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 2014037662 (MO). The NPI Number for MR. CLINT L VANLANDINGHAM (DPM) is 1508838566

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. CLINT L VANLANDINGHAM (DPM)
NPI
1508838566
Phone
(573) 785-4546
Address
2600 KANELL BLVD
Enumeration Date
3 February 2006
Last Update Date
27 January 2020

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
5737854546
Graduation Year
2002 (24 years ago)
PAC ID
7719961937
Professional Enrollment ID
I20040615001819
Address ID
MO639013001PO2600XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

285 PODIATRY in MO

Loading map...

Provider Addresses for MR. CLINT L VANLANDINGHAM (DPM)

  • 2600, Kanell Boulevard, Poplar Bluff, Butler County, Missouri, 63901, United States

    POPLAR BLUFF, MO 639013001

    Phone: (573) 785-4546

    Fax: (573) 785-6959

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $383.

Total Amount is formed as General ($383) + Research ($0) + Ownership ($0) = $383.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Kerecis Limited ($107).

Total Amount

$383

General + Research + Ownership

Payments

16

Total payment records

General Amount

$383

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-06-15

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
I20040615001819IPodiatryMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1,168573$0
J1100Injection, dexamethasone sodium phosphate, 1 mg737215$0
11721Removal of fingernails or toenails, 6 or more nails501280$0
73630X-ray of foot, minimum of 3 views391255$0
99203New patient office or other outpatient visit, 30-44 minutes300300$0
View full utilization report →

Insurance plans in this area (ZIP 63901)

Loading plans...

Provider's Procedures

MR. CLINT L VANLANDINGHAM (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYMO11042Removal of skin and tissue first 20 sq cm or less9843
PODIATRYMO11056Removal of 2 to 4 thickened skin growths17988
PODIATRYMO11720Removal of tissue from 1 to 5 finger or toe nails244137

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for MR. CLINT L VANLANDINGHAM (DPM) in the U.S.?
In the U.S., MR. CLINT L VANLANDINGHAM (DPM) is identified by NPI 1508838566.
Is MR. CLINT L VANLANDINGHAM (DPM)'s NPI status active today?
Active status means MR. CLINT L VANLANDINGHAM (DPM)'s NPI record is not deactivated in the public file.
How should patients interpret MR. CLINT L VANLANDINGHAM (DPM)'s specialty?
The extract shows Podiatrist for MR. CLINT L VANLANDINGHAM (DPM). Clinical services aligned with this taxonomy classification.
Is MR. CLINT L VANLANDINGHAM (DPM) tied to Poplar Bluff, Missouri?
If you are local to Poplar Bluff, Missouri, MR. CLINT L VANLANDINGHAM (DPM) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

2600, Kanell Boulevard, Poplar Bluff, Butler County, Missouri, 63901, United States
NPI: 1144283524
1899, North Westwood Boulevard, Poplar Bluff, Butler County, Missouri, 63901, United States
NPI: 1326050816
John J. Pershing VA Medical Center, 1500, North Westwood Boulevard, Poplar Bluff, Butler County, Missouri, 63901, United States
NPI: 1083796171
1899, North Westwood Boulevard, Poplar Bluff, Butler County, Missouri, 63901, United States
NPI: 1053452854
2401 S 31ST ST # MS -A1202
NPI: 1982109112
417, Richmond Avenue, Houston, Harris County, Texas, 77002, United States
NPI: 1366001190