DR. CLARK RENWICK HERNIMAN (D.O) – Psychiatry Physician, NPI 1720373996
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,244 PSYCHIATRY in OH
Provider Addresses for DR. CLARK RENWICK HERNIMAN (D.O)
1606 HOPKINS AVE
LAKEWOOD, OH 441075025
Phone: (713) 805-9265
Type: Mailing
2500 METROHEALTH DR
CLEVELAND, OH 441091900
Phone: (216) 778-4973
Type: Location
158 7TH ST NW
VALLEY CITY, ND 580722539
Phone: (713) 805-9265
Type: Mailing
2605 CIRCLE DR
JAMESTOWN, ND 584016905
Phone: (701) 253-3650
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $716.
Total Amount is formed as General ($716) + Research ($0) + Ownership ($0) = $716.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($186).
Total Amount
$716
General + Research + Ownership
Payments
41
Total payment records
General Amount
$716
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-02-02
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 |
|---|---|---|---|---|
| I20160202001013 | I | Psychiatry | ND | 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 |
|---|---|---|---|---|
| 90792 | Psychiatric diagnostic evaluation with medical services | 13 | 12 | $0 |
Insurance plans in this area (ZIP 44107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ND | |
| Nurse Practitioner | ND | |
| General Practice | ND | |
| P S Y C H I A T R Y | ND | |
| Psychiatry, Addiction Medicine | ND | |
| - | ND | |
| P S Y C H I A T R Y | ND | |
| - | ND | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | ND |
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