DR. STEPHEN D. CLYNE D.O. NPI 1235286055

NPI Information

  • NPI: 1235286055
  • Provider Name: DR. STEPHEN D. CLYNE, D.O.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 44200 WOODWARD AVE
    SUITE 209
    PONTIAC, MI
    ZIP 48341
  • Phone: (248) 253-0330

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NPI Details

DR. Stephen D. Clyne, D.O. is a nephrology internal medicine in Pontiac, MI with 22 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Stephen D. Clyne, D.O. NPI is 1235286055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2003

The provider's business location address is:

44200 WOODWARD AVE
SUITE 209
PONTIAC, MI
ZIP 48341-045
Phone: (248) 253-0330
Fax: (248) 253-1982

The NPI 1235286055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml (HCPCS:Q9965)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Injection, midazolam hydrochloride, per 1 mg (HCPCS:J2250)
  • Home dialysis services per month (20 years or older) (HCPCS:90966)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Injection, fentanyl citrate, 0.1 mg (HCPCS:J3010)
  • Insertion of tube into chest or arm artery, each first order branch (HCPCS:36215)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Balloon dilation of dialysis segment with review by radiologist (HCPCS:36907)
  • Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes (HCPCS:99153)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Hemodialysis procedure with physician evaluation (HCPCS:90935)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Replacement of tunneled central venous tube (HCPCS:36581)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Balloon dilation of vein with review by radiologist, initial vein (HCPCS:37248)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Automated urinalysis test (HCPCS:81003)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Injection for x-ray imaging procedure into vein of arm or leg (HCPCS:36005)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)

The enumeration date for this NPI number is 1/4/2007 and was last updated on 12/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology5101015590MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M54550021MEDICARE PIN
2I48327MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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