DR. PETER JOHN CLONEY (DO) – Psychiatry Physician, NPI 1043940463

DR. PETER JOHN CLONEY (DO) is a healthcare provider. based in Easton, Pennsylvania. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. OT022031 (PA). The NPI Number for DR. PETER JOHN CLONEY (DO) is 1043940463

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER JOHN CLONEY (DO)
NPI
1043940463
Phone
(484) 503-4007
Address
1700 ST. LUKE'S BLVD.
Enumeration Date
16 June 2022
Last Update Date
16 June 2022

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2152576551
Graduation Year
2022 (4 years ago)
PAC ID
5597144139
Group Practice PAC ID
0446246011
Professional Enrollment ID
I20240624000491
Address ID
PA189601549SE807XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,879 PSYCHIATRY in PA

Provider Addresses for DR. PETER JOHN CLONEY (DO)

  • 1700 ST. LUKE'S BLVD.

    SUITE 402

    EASTON, PA 18045

    Phone: (484) 503-4007

    Mailing address matches the actual address.

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: 2024-06-24

PECOS data refreshed: 2026-06-15

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
I20240624000491IPsychiatryPATBD

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 18045)

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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: 0446246011View full group profile
NameSpecialtyState
Clinical Social WorkerPA
Nurse PractitionerPA
P S Y C H I A T R YPA
Mental Health CounselorPA
-PA
Mental Health CounselorPA
-PA
-PA
-PA
Mental Health CounselorPA

Reviews

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Frequently asked questions

Is DR. PETER JOHN CLONEY (DO) listed with a National Provider Identifier?
Yes — DR. PETER JOHN CLONEY (DO) has NPI 1043940463 on file in the registry.
Is DR. PETER JOHN CLONEY (DO) still an active registrant?
DR. PETER JOHN CLONEY (DO) carries an active NPI according to the public dataset.
What kind of doctor is DR. PETER JOHN CLONEY (DO)?
DR. PETER JOHN CLONEY (DO) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is DR. PETER JOHN CLONEY (DO) registered?
Use Easton, Pennsylvania as the headline location for DR. PETER JOHN CLONEY (DO) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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