CLEARFIELD PROFESSIONAL GROUP, LTD.
NPI 1730108994
Internal Medicine in Clearfield, PA

Active since July 19, 2006
820 TURNPIKE AVE, CLEARFIELD, PA 16830(814) 765-2412(814) 765-8807 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Clearfield Professional Group, Ltd. NPPES

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

CLEARFIELD PROFESSIONAL GROUP, LTD. (NPI 1730108994) is a healthcare organization registered as an internal medicine in Clearfield, Pennsylvania and active in the NPI registry since July 2006. The organization lists Brian Blair Witherow, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1730108994
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCLEARFIELD PROFESSIONAL GROUP, LTD.
Location Address820 TURNPIKE AVEClearfield, PA 16830-1229
Mailing Address820 Turnpike AveClearfield, PA 16830-1229 · (814) 765-2412 · Fax (814) 765-8807
Fax(814) 765-8807
Organization SubpartNo
Authorized OfficialBrian Blair WitherowBusiness Manager · (814) 765-5796
Enumeration DateJuly 19, 2006
Last NPPES UpdateJanuary 24, 2014
✔ NPI 1730108994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
820 TURNPIKE AVE, Clearfield, PA 16830

Other Identifiers 2

Medicare ID-Type Unspecified511201PA · Group Medicare Number
Medicaid0011097860011PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clearfield Professional Group, Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20040317000535Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Clearfield Professional Group, Ltd., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1356382493
820 TURNPIKE AVE
Clearfield, PA 16830
(814) 765-8861
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679004360
18 N FRONT ST
Philipsburg, PA 16866
(814) 342-2333
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1245546472
402 E SYCAMORE RD
Snow Shoe, PA 16874
(814) 387-6857
✔ PECOS✔ Accepts Medicare27 mi

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

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 Clearfield Professional Group, Ltd.'s NPI number?

The NPI number for Clearfield Professional Group, Ltd. is 1730108994. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Clearfield Professional Group, Ltd. located?

Clearfield Professional Group, Ltd. is located at 820 Turnpike Ave, Clearfield, PA 16830. The listed phone number is (814) 765-2412.

What is Clearfield Professional Group, Ltd.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Clearfield Professional Group, Ltd. enrolled in Medicare?

Yes. Clearfield Professional Group, Ltd. is registered in the Medicare PECOS enrollment system.

When is Clearfield Professional Group, Ltd.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Clearfield Professional Group, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Clearfield Professional Group, Ltd., in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Clearfield Professional Group, Ltd. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Clearfield Professional Group, Ltd. 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.

When was this NPI record last updated?

The NPPES record for Clearfield Professional Group, Ltd. was last updated on January 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.