CLARENCE G TAM MD NPI 1447365960

NPI Information

  • NPI: 1447365960
  • Provider Name: CLARENCE G TAM, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 421 CAMELOT DR
    FOND DU LAC, WI
    ZIP 54935
  • Phone: (920) 926-8472

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NPI Details

Clarence G Tam, MD is an ophthalmology in Fond Du Lac, WI with 31 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Clarence G Tam, MD NPI is 1447365960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:1995

The provider's business location address is:

421 CAMELOT DR
FOND DU LAC, WI
ZIP 54935-335
Phone: (920) 926-8472
Fax: (920) 926-8391

The NPI 1447365960 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.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Ultrasound scan to determine eye length and lens power (HCPCS:76519)
  • Imaging of optic nerve (HCPCS:92133)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Imaging of retina (HCPCS:92134)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient complete exam of visual system (HCPCS:92004)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 8/21/2006 and was last updated on 10/21/2020.

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
1207W00000XOphthalmology41026WISCONSINYes

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
132549400MEDICAIDWISCONSIN
2P01397920OTHERWISCONSINRAILROAD MEDICARE

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: 11/21/2025

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