DR. WILLIAM TYLER CLEMENTS (DO) – Internal Medicine Physician, NPI 1033797352

DR. WILLIAM TYLER CLEMENTS (DO) is a healthcare provider. based in Gainesville, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 5661 (TN). The NPI Number for DR. WILLIAM TYLER CLEMENTS (DO) is 1033797352

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM TYLER CLEMENTS (DO)
NPI
1033797352
Phone
(352) 333-5980
Address
1147 NW 64TH TER
Enumeration Date
30 March 2021
Last Update Date
10 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8655411111
Graduation Year
2021 (5 years ago)
PAC ID
0547792475
Group Practice PAC ID
5496025074
Professional Enrollment ID
I20241017000611
Address ID
TN379162307KN1901XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for DR. WILLIAM TYLER CLEMENTS (DO)

  • 1147 NW 64TH TER

    GAINESVILLE, FL 326054218

    Phone: (352) 333-5980

    Fax: (352) 333-5915

    Type: Mailing

  • 7485 SW 17TH RD

    GAINESVILLE, FL 326071000

    Phone: (352) 333-5700

    Fax: (352) 376-4975

    Type: Location

  • 7485 SW 17th Rd

    Gainesville, FL 326071000

    Phone: (352) 333-5700

    Fax: (352) 376-4975

    Type: Location

  • 9352 Park West Blvd

    Knoxville, TN 379234325

    Phone: (865) 373-1000

    Type: Location

  • 1901 CLINCH AVE

    KNOXVILLE, TN 379162307

    Phone: (865) 331-1111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241017000611IInternal MedicineTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32605)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496025074View full group profile
NameSpecialtyState
-TN
-TN
Internal Medicine, Pediatric MedicineWV
Internal MedicineCO
-TN
Nurse PractitionerTN
Nurse PractitionerTN
Internal Medicine, Pulmonary DiseaseTN
Pulmonary Disease, Critical Care (Intensivists)OK
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. WILLIAM TYLER CLEMENTS (DO)?
DR. WILLIAM TYLER CLEMENTS (DO) — NPI 1033797352 — is the standard way to identify this listing.
Is DR. WILLIAM TYLER CLEMENTS (DO) still practicing?
DR. WILLIAM TYLER CLEMENTS (DO) is currently listed as active in the public NPI registry.
What is DR. WILLIAM TYLER CLEMENTS (DO) best known for clinically?
Directory data describes DR. WILLIAM TYLER CLEMENTS (DO) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. WILLIAM TYLER CLEMENTS (DO) serve?
DR. WILLIAM TYLER CLEMENTS (DO)'s listing highlights Gainesville, Florida; more addresses can appear in NPPES.
Is the information about DR. WILLIAM TYLER CLEMENTS (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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