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CLAIRALYN LOIS BAUCOM MD
NPI 1760569339
General Practice in Apo, AP

Active since November 01, 2006PECOS Enrolled
KADENA PEDIATRIC CLINIC, 18MDG / SGHQ UNIT 5142, APO, AP 96367(315) 630-4542 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clairalyn Lois Baucom Md NPPES

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

CLAIRALYN LOIS BAUCOM MD (NPI 1760569339) is an individual general practice provider in Apo, AP, licensed in Virginia (0101240222) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760569339
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameCLAIRALYN LOIS BAUCOMCredential: MD
Location AddressKADENA PEDIATRIC CLINIC, 18MDG / SGHQ UNIT 5142Apo, AP 96367-5142
Mailing Address18mdos, Psc 80 Box 15477Apo, AP 96367-5142 · (315) 630-4542
Phone(315) 630-4542
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 11, 2008
✔ NPI 1760569339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101240222
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Other Names 1

Former Name (1)Clairalyn Catherine Elliott

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clairalyn Lois Baucom Md 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.

Medicare Billing Reassignments

2

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

Commonwealth Healthcare Corporation
Rural Health
SAN JOSE VILLAGE, CORNER OF CANAL STREET & BROADWAY
Tinian, MP 96952
  • Reassigned Medicare billing, Northern Mariana Islands enrollment
  • 200 clinicians in this Medicare group
NPI 1003382854 (670) 433-9233
Mid-Columbia Medical Center
General Practice
1700 E 19TH ST
The Dalles, OR 97058
  • Reassigned Medicare billing, Oregon enrollment
  • 195 clinicians in this Medicare group
NPI 1053409599 (541) 296-1111

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 Clairalyn Baucom's NPI number?

The NPI number for Clairalyn Baucom is 1760569339. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Clairalyn Catherine Elliott.

Where is Clairalyn Baucom located?

Clairalyn Baucom practices at Kadena Pediatric Clinic 18mdg / Sghq Unit 5142, Apo, AP 96367. The listed phone number is (315) 630-4542.

What is Clairalyn Baucom's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Clairalyn Baucom enrolled in Medicare?

Yes. Clairalyn Baucom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Clairalyn Baucom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clairalyn Baucom reassigns Medicare benefits to 2 organizations: Commonwealth Healthcare Corporation (Tinian, MP) and Mid-Columbia Medical Center (The Dalles, OR). 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 Clairalyn Baucom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Clairalyn Baucom was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.