Clinton T Snedegar, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

36-129312 Issued in IL

Practice address

401 Roxbury Rd
Rockford, IL 61107-5075

Phone

(815) 397-7340

Fax

(815) 397-7388

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Merit-based Incentive Payment System (MIPS)

Final score

73.6 of 100Reported as group

Quality

66.79

Promoting interoperability

63

Improvement activities

40

Cost

76.04

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: clinton.snedegar.p1@direct.rga.nextgenshare.com

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1669413522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075075",
            "telephone_number": "815-397-7340",
            "fax_number": "815-397-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075075",
            "telephone_number": "815-397-7340",
            "fax_number": "815-397-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEDEGAR",
        "first_name": "CLINTON",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "36-129312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "692090004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Smith
• Rodney E Smith
• Shelby Smith, FNP-C
• Stephen William Smith, MS,LPC,CADC
• Tombi Smith
• SNH Lincoln Tenant LLC
• David Snow, LPC
• Dawn Lynn Snyder
• Soak Lactation
• Sean Creston Soare, PA-C

• Gastroenterology Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.