THOMAS W CLARK (DPM) – Podiatrist, NPI 1447251822
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for THOMAS W CLARK (DPM)
918, Russell Drive, Hauckville, North Cornwall Township, Lebanon County, Pennsylvania, 17042, United States
LEBANON, PA 170427485
Phone: (717) 273-3521
Fax: (717) 273-5172
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.
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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: 2010-06-28
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 |
|---|---|---|---|---|
| I20100628000331 | I | Podiatry | PA | 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 |
|---|---|---|---|---|
| 11719 | Trimming of fingernails or toenails | 1,074 | 316 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 787 | 255 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 310 | 98 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 262 | 104 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 199 | 134 | $0 |
Insurance plans in this area (ZIP 17042)
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