Clarence L. Nicodemus, PHD DO
NPI 1063690535ActiveIndividual· Neuromusculoskeletal Medicine & OMM· East Lansing, MI
Neuromusculoskeletal Medicine & OMM (PHD DO) in East Lansing, Michigan, trained at Michigan State University College of Osteopathic Medicine (class of 2000). Medicare paid $19,537 for services to 37 patients in 2024.
Overview
| NPI | 1063690535 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD DO |
| Sole proprietor | No |
| NPI issued | Feb 6, 2008 |
| Last updated in NPPES | Jun 26, 2023 |
| Certified by provider | Jun 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Primary | 204D00000X | 5101016107 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Osteopathic Manipulative Medicine (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 37 |
|---|---|
| Services billed | 324 across 6 procedure codes |
| Paid by Medicare | $19,537 |
Education and affiliations
| Medical school | Michigan State University College of Osteopathic Medicine |
|---|---|
| Graduation year | 2000 |
| Medicare specialty | Osteopathic Manipulative Medicine |
Medical group
- Msu Health Care Inc.East Lansing, MI · 198 clinicians
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All 33 Neuromusculoskeletal Medicine & OMM providers in East Lansing · All Neuromusculoskeletal Medicine & OMM providers in Michigan