RICHARD KLEMENTAVICIUS (M.D.) – Anesthesiology Physician, NPI 1609828490
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,340 ANESTHESIOLOGY in FL
Provider Addresses for RICHARD KLEMENTAVICIUS (M.D.)
617 BAY CLIFFS RD
GULF BREEZE, FL 325614805
Phone: (850) 934-4107
Fax: (850) 934-4107
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2004-06-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040628000820 | I | Anesthesiology | FL | TBD |
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.
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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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 64416 | Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter | 50 | 50 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 42 | 42 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 36 | 36 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 29 | 28 | $0 |
| 00537 | Anesthesia for procedure to assess heart electrical activity | 29 | 29 | $0 |
Insurance plans in this area (ZIP 32561)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | FL | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | OH | |
| A N E S T H E S I O L O G Y | FL | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | NY | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | FL |
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