CLYDE W WOODYARD (PA-C) – Physician Assistant, NPI 1720083785
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CLYDE W WOODYARD (PA-C)
PO BOX 21435
ROANOKE, VA 240180551
Phone: (540) 772-4448
Fax: (540) 772-0410
Type: Mailing
Electric Road, Beulah Heights, Cave Spring, Roanoke County, Virginia, 24015, United States
ROANOKE, VA 24018
Phone: (540) 772-4448
Fax: (540) 772-0410
Type: Location
2726 ELECTRIC RD
ROANOKE, VA 240183528
Phone: (540) 772-4448
Fax: (540) 772-0410
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($42).
Total Amount
$78
General + Research + Ownership
Payments
3
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $42 |
| Bioventus LLC | $35 |
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: 2010-01-07
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 |
|---|---|---|---|---|
| I20100107000343 | I | Physician Assistant | VA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 409 | 78 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 143 | 98 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 90 | 68 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 24 | $0 |
Insurance plans in this area (ZIP 24018)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | VA | 20610 | Aspiration and/or injection of large joint or joint capsule | 155 | 80 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| P S Y C H I A T R Y | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | TN | |
| Physician Assistant | VA | |
| - | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| Family Practice | TN | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | OH |
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