KATE CLANCY (MD) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1417489352

KATE CLANCY (MD) is a healthcare provider. based in Cleveland, Ohio. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 35.149280 (OH). The NPI Number for KATE CLANCY (MD) is 1417489352

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KATE CLANCY (MD)
NPI
1417489352
Phone
Not provided
Address
11100 EUCLID AVE
Enumeration Date
30 March 2017
Last Update Date
18 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4402827600
Graduation Year
2017 (9 years ago)
PAC ID
5294001558
Group Practice PAC ID
4688070055
Professional Enrollment ID
I20231024001192
Address ID
OH440531652LO3600XRDXX314
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

535 OTOLARYNGOLOGY in OH

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Provider Addresses for KATE CLANCY (MD)

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone:

    Type: Mailing

  • 3600 KOLBE RD STE 206

    LORAIN, OH 440531652

    Phone: (440) 282-7600

    Fax: (440) 282-7811

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $649.

Total Amount is formed as General ($649) + Research ($0) + Ownership ($0) = $649.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($649).

Total Amount

$649

General + Research + Ownership

Payments

6

Total payment records

General Amount

$649

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2023-10-24

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
I20231024001192IOtolaryngologyOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44106)

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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: 4688070055View full group profile
NameSpecialtyState
Family Practice, Sports MedicinePA
Pulmonary Disease, Internal MedicineOH
U R O L O G YOH
Pain Management, Physical Medicine And RehabilitationOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Clinical Social WorkerOH
G A S T R O E N T E R O L O G YOH
N E U R O S U R G E R YNC

Reviews

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Frequently asked questions

Can I use this page to confirm KATE CLANCY (MD)'s NPI?
Yes. KATE CLANCY (MD) is listed with NPI 1417489352 in the public NPI dataset.
Does CMS list KATE CLANCY (MD) as active?
Yes — KATE CLANCY (MD) is active in the NPI listing used on this page.
What healthcare role does KATE CLANCY (MD) hold?
Scheduling teams often label KATE CLANCY (MD) under Plastic Surgery within the Head & Neck (Otolaryngology) Physician. Clinical services aligned with this taxonomy classification.
What area does KATE CLANCY (MD) serve?
KATE CLANCY (MD)'s listing highlights Cleveland, Ohio; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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