DR. RAYMOND JOSEPH CLYDESDALE D.O.
NPI 1699764340
Preventive Medicine - Aerospace Medicine in Hampton, VA

Active since October 17, 2005PECOS Enrolled
633 MEDICAL GROUP, 77 NEALY AVENUE, HAMPTON, VA 23665(757) 225-7630 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2024, Jan 26, 2023, Aug 1, 2018 (3 updates tracked since 2018).

About Dr. Raymond Joseph Clydesdale D.o. NPPES

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

DR. RAYMOND JOSEPH CLYDESDALE D.O. (NPI 1699764340) is an individual aerospace medicine provider in Hampton, Virginia, licensed in Pennsylvania (OS12364) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Scott Afb.

NPPES Registry Identity

NPI1699764340
Entity TypeIndividualMale
Primary Taxonomy2083A0100X
Provider Legal NameDR. RAYMOND JOSEPH CLYDESDALECredential: D.O.
Location Address633 MEDICAL GROUP, 77 NEALY AVENUEHampton, VA 23665-2040
Mailing Address633 Medical Group, 77 Nealy AvenueLangley Afb, VA 23665
Sole ProprietorNo
Enumeration DateOctober 17, 2005
Last NPPES UpdateJune 12, 20243 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
NPI 1699764340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPreventive Medicine · Aerospace MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0100X
License Licensed in PA · OS12364
Definition
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License OS12364 (PA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License OS12364 (PA)
633 MEDICAL GROUP, Hampton, VA 23665

Secondary Practice Location 1

Location 1375 Medical Group, 310 W. Losey StreetScott AFB, IL 62225 · Phone (618) 256-9355

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Raymond Joseph Clydesdale D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23665 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Military Health Care Provider (Independent Duty Medical Technicians)
633 MEDICAL GROUP, 77 NEALLY AVE
JOINT BASE LANGLEY-EUSTIS, VA 23665
Social Worker (Clinical)
633 MEDICAL GROUP, 77 NEALY AVE
HAMPTON, VA 23665
Emergency Medicine
633 MEDICAL GROUP, 77 NEALY AVE
HAMPTON, VA 23665

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 Raymond Clydesdale's NPI number?

The NPI number for Raymond Clydesdale is 1699764340. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Raymond Clydesdale located?

Raymond Clydesdale practices at 633 Medical Group 77 Nealy Avenue, Hampton, VA 23665. The listed phone number is (757) 225-7630.

What is Raymond Clydesdale's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Aerospace Medicine, with taxonomy code 2083A0100X.

Is Raymond Clydesdale enrolled in Medicare?

Yes. Raymond Clydesdale is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raymond Clydesdale was last updated on June 12, 2024. 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.