DR. CLIFFORD LOUIS III LIGHTFOOT (DO) – Emergency Medicine Physician, NPI 1700036084

DR. CLIFFORD LOUIS III LIGHTFOOT (DO) is a healthcare provider. based in Pullman, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 34.009787 (OH). The NPI Number for DR. CLIFFORD LOUIS III LIGHTFOOT (DO) is 1700036084

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLIFFORD LOUIS III LIGHTFOOT (DO)
NPI
1700036084
Phone
Not provided
Address
835 SE BISHOP BLVD
Enumeration Date
24 September 2008
Last Update Date
2 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5093322541
Graduation Year
2008 (18 years ago)
PAC ID
4880880111
Group Practice PAC ID
8325934987
Professional Enrollment ID
I20111005000776
Address ID
WA991635512PU835XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,206 EMERGENCY MEDICINE in WA

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Provider Addresses for DR. CLIFFORD LOUIS III LIGHTFOOT (DO)

  • Pullman Regional Hospital, 835, Southeast Bishop Boulevard, Pullman, Whitman County, Washington, 99163, United States

    PULLMAN, WA 991635512

    Phone:

    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: 2011-10-05

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
I20111005000776IEmergency MedicineWATBD

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 99163)

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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: 8325934987View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)WA
-ID
Certified Registered Nurse Anesthetist (Crna)IN
Family PracticeWA
General SurgeryWA
General SurgeryWA
Orthopedic SurgeryID
Family Practice, Obstetrics/GynecologyWA
Emergency MedicineWA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. CLIFFORD LOUIS III LIGHTFOOT (DO)'s NPI?
Yes. DR. CLIFFORD LOUIS III LIGHTFOOT (DO) is listed with NPI 1700036084 in the public NPI dataset.
Does the file indicate DR. CLIFFORD LOUIS III LIGHTFOOT (DO) is practicing under active NPI?
Directory data currently reports DR. CLIFFORD LOUIS III LIGHTFOOT (DO) as active.
What taxonomy line describes DR. CLIFFORD LOUIS III LIGHTFOOT (DO)?
For research purposes, treat DR. CLIFFORD LOUIS III LIGHTFOOT (DO) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. CLIFFORD LOUIS III LIGHTFOOT (DO)?
DR. CLIFFORD LOUIS III LIGHTFOOT (DO)'s geographic hint is Pullman, Washington in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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