ANDREW R CLEMENTZ (MD) – Family Medicine Physician, NPI 1689171621
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,103 FAMILY PRACTICE in GA
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Provider Addresses for ANDREW R CLEMENTZ (MD)
4500 N SHALLOWFORD RD STE B
ATLANTA, GA 303386476
Phone: (404) 778-6920
Fax: (404) 778-6901
Type: Mailing
4500, North Shallowford Road, Huntley Hills, Dunwoody, DeKalb County, Georgia, 30338, United States
DUNWOODY, GA 30338
Phone: (404) 778-6920
Fax: (404) 778-6901
Type: Location
1220 CAROLINE ST NE STE A-230
ATLANTA, GA 303072749
Phone: (678) 710-3980
Fax: (404) 778-6901
Type: Mailing
1863 MEMORIAL DR SE
ATLANTA, GA 303172103
Phone: (470) 717-0719
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $768.
Total Amount is formed as General ($768) + Research ($0) + Ownership ($0) = $768.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Lilly USA, LLC ($275).
Total Amount
$768
General + Research + Ownership
Payments
26
Total payment records
General Amount
$768
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $275 |
| Exact Sciences Corporation | $82 |
| Amgen Inc. | $62 |
| ABBVIE INC. | $59 |
| Janssen Pharmaceuticals, Inc | $46 |
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: 2023-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200206002993 | I | Family Practice | GA | TBD |
| I20230718000298 | I | Family Practice | 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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 205 | 170 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 93 | 78 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 45 | 41 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 23 | 23 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 16 | 16 | $0 |
Insurance plans in this area (ZIP 30338)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL |
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