DR. JAMIE CLEMENTI (MD) – Surgery Physician, NPI 1023513355
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
Provider Addresses for DR. JAMIE CLEMENTI (MD)
4440 W 95TH ST
OAK LAWN, IL 604532600
Phone: (708) 684-8000
Type: Location
2301 Holmes St
Kansas City, MO 641082640
Phone: (816) 404-4175
Type: Location
Truman Medical Center, Hospital Hill, 2301, Holmes Street, Hospital Hill, Kansas City, Jackson County, Missouri, 64108, United States
KANSAS CITY, MO 641082640
Phone: (816) 404-4175
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $327.
Total Amount is formed as General ($327) + Research ($0) + Ownership ($0) = $327.
Last reported payment date: 2024-04-11 • Largest payer in this snapshot: LEICA MICROSYSTEMS INC. ($191).
Total Amount
$327
General + Research + Ownership
Payments
4
Total payment records
General Amount
$327
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LEICA MICROSYSTEMS INC. | $191 |
| Endomagnetics Ltd | $136 |
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: 2024-09-05
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 |
|---|---|---|---|---|
| I20240905000928 | I | General Surgery | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60453)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MI | |
| - | WI | |
| General Surgery | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| General Surgery | WI |
Reviews
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