COLEMAN OLIVER CLOUGHERTY (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1417205642

COLEMAN OLIVER CLOUGHERTY (D.P.M.) is a healthcare provider. based in Westlake, Ohio. specializing in PODIATRY, UNDERSEA AND HYPERBARIC MEDICINE, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials D.P.M.. They hold a License No. 36003722 (OH). The NPI Number for COLEMAN OLIVER CLOUGHERTY (D.P.M.) is 1417205642

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
COLEMAN OLIVER CLOUGHERTY (D.P.M.)
NPI
1417205642
Phone
(440) 892-6628
Address
29099 Health Campus Dr
Enumeration Date
20 August 2012
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2166361768
Graduation Year
2012 (14 years ago)
PAC ID
4183935588
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20150723007002
Address ID
OH441950001CL9500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

953 PODIATRY in OH

Provider Addresses for COLEMAN OLIVER CLOUGHERTY (D.P.M.)

  • 29099 Health Campus Dr

    Suite 180

    Westlake, OH 441455200

    Phone: (440) 892-6628

    Type: Location

  • 6688 RIDGE RD STE 1110

    PARMA, OH 441295706

    Phone: (440) 885-1000

    Fax: (440) 843-3690

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 141 Open Payments records for all available years, with a total value of $56,093.

Total Amount is formed as General ($56,093) + Research ($0) + Ownership ($0) = $56,093.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Integra LifeSciences Corporation ($33,653).

Total Amount

$56,093

General + Research + Ownership

Payments

141

Total payment records

General Amount

$56,093

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2015-07-23

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
I20150723007002IPodiatryOHTBD

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 minutes5519$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3919$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes3125$0
99214Established patient office or other outpatient visit, 30-39 minutes1612$0
View full utilization report →

Insurance plans in this area (ZIP 44145)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Is COLEMAN OLIVER CLOUGHERTY (D.P.M.) listed with a National Provider Identifier?
Yes — COLEMAN OLIVER CLOUGHERTY (D.P.M.) has NPI 1417205642 on file in the registry.
Would COLEMAN OLIVER CLOUGHERTY (D.P.M.) appear as active to a payer?
You can treat COLEMAN OLIVER CLOUGHERTY (D.P.M.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with COLEMAN OLIVER CLOUGHERTY (D.P.M.)?
COLEMAN OLIVER CLOUGHERTY (D.P.M.)'s record emphasizes Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is COLEMAN OLIVER CLOUGHERTY (D.P.M.) located near Westlake?
COLEMAN OLIVER CLOUGHERTY (D.P.M.) currently maps to Westlake, Ohio in this extract.
Does COLEMAN OLIVER CLOUGHERTY (D.P.M.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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