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KATE CLANCY MD
NPI 1417489352
Otolaryngology - Plastic Surgery within the Head & Neck in Lorain, OH

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3600 KOLBE RD STE 206, LORAIN, OH 44053(440) 222-4140(440) 222-4141 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 23, 2023, Oct 9, 2023, Mar 30, 2017 (3 updates tracked since 2017).

About Kate Clancy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATE CLANCY MD (NPI 1417489352) is an individual plastic surgery within the head & neck provider in Lorain, Ohio, licensed in Ohio (35.149280) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Uh St John Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1417489352
Entity TypeIndividualFemale
Primary Taxonomy207YX0007X
Provider Legal NameKATE CLANCYCredential: MD
Location Address3600 KOLBE RD STE 206Lorain, OH 44053-1652
Mailing Address3600 Kolbe Rd Ste 206Lorain, OH 44053-1652 · (440) 282-7600 · Fax (440) 282-7811
Phone(440) 222-4140
Fax(440) 222-4141
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 30, 2017
Last NPPES UpdateDecember 18, 20233 updates tracked since enumeration
NPPES CertifiedDecember 18, 2023
✔ NPI 1417489352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in OH · 35.149280
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
3600 KOLBE RD STE 206, Lorain, OH 44053
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kate Clancy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294001558
PECOS Enrollment IDI20231024001192
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kate Clancy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Lorain Specialty Care LLC
Same address
Surgery
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 227 clinicians in this Medicare group
NPI 1972126381 (440) 988-1009
University Hospitals Medical Group Inc
33 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
91 services91 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
50 services43 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
40 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
36 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services27 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360123
Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS JARMOSZUK, M.D., INC
Internal Medicine (Gastroenterology)
3600 KOLBE RD STE 206
LORAIN, OH 44053
Lorain County (440) 282-1360
NIYATI PANKAJ SHETH D.O.
Internal Medicine (Infectious Disease)
3600 KOLBE RD STE 206
LORAIN, OH 44053
Lorain County (440) 233-0138
CELESTE A FORSYTH RDN, LD
Dietitian, Registered
3600 KOLBE RD STE 206
LORAIN, OH 44053
Lorain County (440) 222-4180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kate Clancy's NPI number?

The NPI number for Kate Clancy is 1417489352. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Kate Clancy located?

Kate Clancy practices at 3600 Kolbe Rd Ste 206, Lorain, OH 44053. The listed phone number is (440) 222-4140.

What is Kate Clancy's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Kate Clancy enrolled in Medicare?

Yes. Kate Clancy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kate Clancy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kate Clancy reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Lorain Specialty Care LLC (Lorain, OH) and University Hospitals Medical Group Inc (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kate Clancy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kate Clancy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Kate Clancy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kate Clancy affiliated with any hospitals?

According to CMS data, Kate Clancy is affiliated with Uh St John Medical Center, Uh Cleveland Medical Center and Mercy Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kate Clancy was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.