Clarence Nicodemus, PHD DO
NPI 1063690535 · Neuromusculoskeletal Medicine & OMM Physician · East Lansing, MI
Enrolled with Medicare as Practitioner - Osteopathic Manipulative Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clarence Nicodemus, PHD DO is a Neuromusculoskeletal Medicine & OMM Physician provider in East Lansing, MI (NPI 1063690535).
Provider details
- NPI number
- 1063690535
- Entity type
- Individual
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Credential
- PHD DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5101016107 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
281 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 143 | $91 |
| Osteopathic Manipulative Treatment, 3-4 Body Regions98926 | 73 | $45 |
| Osteopathic Manipulative Treatment, 7-8 Body Regions98928 | 45 | $72 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 20 | $168 |
Typical Medicare-allowed amounts for these services range $45–$168 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-06
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Frequently asked questions
- What is Clarence Nicodemus's NPI number?
- Clarence Nicodemus's National Provider Identifier (NPI) is 1063690535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clarence Nicodemus's specialty?
- Clarence Nicodemus is listed in the NPPES registry with a primary specialty of Neuromusculoskeletal Medicine & OMM Physician (Allopathic & Osteopathic Physicians).
- Where is Clarence Nicodemus located?
- Clarence Nicodemus's practice location on file with NPPES is 4660 S Hagadorn Rd, East Lansing, MI 48823-5376.
- What is Clarence Nicodemus's phone number?
- The practice phone number listed in the NPPES registry for Clarence Nicodemus is (517) 432-6144.
- Does Clarence Nicodemus accept Medicare?
- Clarence Nicodemus is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Clarence Nicodemus's NPI active?
- Yes — Clarence Nicodemus's NPI (1063690535) is active in the NPPES registry as of the last update on 2023-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.