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Deactivated NPI 1811984222 Deactivated / Inactive NPI Male Practitioner

Dr. Clyde Thomas Webb , MD

Internal Medicine • Addison, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Clyde Webb has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 30, 2005
NPI Deactivation Date June 04, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Clyde Webb, MD was a registered Internal Medicine practicing in Addison, IL. Throughout an active medical career spanning 16 years, Dr. Webb provided care at the practice location at 303 W LAKE ST until profile deactivation on 2021-06-04.

Historical Medicare Part B clinical services included established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

303 W Lake St

Addison, IL 60101

Telephone 3312219001
Associated Practice Facility / Clinic
🏢 Dupage Medical Associates, Sc Facility NPI 1912968785

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Addison, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.6 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Addison, IL (7544 Statewide)

Telehealth Adoption Rate
35.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
180 126 $121.83 $82.57
99213 Established patient office or other outpatient visit, typically 15 minutes
27 26 $78.00 $54.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
12 12 $200.00 $123.71

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036064806

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003320128

APNCNP

Dr. Maelen Pantano , MD

Internal Medicine

NPI 1023068152

Doctor of Medicine (M.D.)

NPI 1033307863

Doctor of Medicine (M.D.)

NPI 1053766840

Doctor of Medicine (M.D.)

Aysha Ahmed , PA-C

Physician Assistant

NPI 1053880138

Physician Assistant (Certified)

Dr. Asma Ayub , MD

Family Medicine

NPI 1063413326

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 04, 2021

Record deactivated on June 04, 2021

NPI Profile Active January 13, 2016

NPI status registered as active in NPPES database

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Updated Practice Location January 13, 2016

Registered at 303 W LAKE ST, ADDISON, IL 60101 (Tel: 3312219001)

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Updated Business Mailing Address January 13, 2016

Registered at 172 SCHILLER, ELMHURST, IL 601262885 (Tel: 3312219001)

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Provider Name / Credentials Updated January 13, 2016

Recorded as CLYDE WEBB, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2016

Internal Medicine (License #036064806 in IL)

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Initial NPI Registration & Enumeration September 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811984222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2005
Last Update: January 13, 2016
Deactivation Date: June 04, 2021

Mailing Address

172 Schiller

Elmhurst, IL 601262885

Phone: 3312219001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.