CLYDE MORRIS PENCE (MD) – Nephrology Physician, NPI 1669458113
Nephrology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CLYDE MORRIS PENCE (MD)
North Davis Highway, Pensacola, Escambia County, Florida, 32503, United States
PENSACOLA, FL 325146050
Phone: (850) 474-8121
Fax: (850) 474-8096
Type: Location
Belfast Post Office, 53, Sherman Street, Town of Belfast, Allegany County, New York, 14711, United States
BELFAST, ME 049155500
Phone: (850) 474-8121
Fax: (850) 474-8096
Type: Mailing
14055 VALLEY VIEW LN
DALLAS, TX 75244
Phone: (877) 868-5351
Type: Mailing
512 CROFTON PARK LN
FRANKLIN, TN 370696516
Phone: (850) 218-3404
Fax: (850) 474-8096
Type: Location
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: 2018-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050928000766 | I | Nephrology | FL | TBD |
| I20180827003223 | I | Nephrology | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32514)
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