Individual provider Active NPI

Clifton Frederick Lord, MD

  • Addiction Medicine (Internal Medicine) Physician
  • White River Junction, VT
National Provider Identifier
1497828859
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
0420007259 Issued in VT
Practice address
220 Holiday Dr
White River Junction, VT 05001-2011
Phone
(802) 674-9400
Fax
(802) 674-9410
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 0420007259 VT Primary

Addresses

Primary practice location

220 Holiday Dr
White River Junction, VT 05001-2011

Mailing address

220 Holiday Dr Ste a
White River Junction, VT 05001-2015
Phone (802) 674-9400

Other identifiers 1

IdentifierTypeStateIssuer
0006638MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080104000187 VT Practitioner - Addiction MedicinePractitioner - Pain Management 1254411135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Pain Management
Education
University of Vermont College of Medicine, 1978
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Connecticut Valley Addiction Recovery IncGroup PAC ID 1850710179, 6 clinicians

Practice addresses (Care Compare)

220 Holiday Dr
Suite a
White River Junction, VT 05001-2015
Phone (802) 674-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Valley Addiction Recovery, Inc Addiction Medicine CurrentSince Sep 1, 2020 Accepting new patients
Habit Opco, LLC CurrentSince Mar 18, 2025 Accepting new patients
Synergy Counseling Group, LLC Past Accepting new patients

Locations

20 Market St
Manchester, NH 03101
Phone (603) 487-6727

220 Holiday Dr
Ste A
White River Junction, VT 05001
Phone (802) 281-6364

141 Etta Frasier Dr
Windsor, VT 05089
Phone (802) 674-9400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1497828859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HOLIDAY DR STE A",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050012015",
            "telephone_number": "802-674-9400",
            "fax_number": "802-674-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HOLIDAY DR",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050012011",
            "telephone_number": "802-674-9400",
            "fax_number": "802-674-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "CLIFTON",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "VT",
            "license": "0420007259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006638",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

Verify at the official NPI Registry.