DR. JAMES WINSTON CLEVENGER (MD) – Emergency Medicine Physician, NPI 1164916649
Emergency Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
483 EMERGENCY MEDICINE in IA
Provider Addresses for DR. JAMES WINSTON CLEVENGER (MD)
200 HAWKINS DR DEPT OF
IOWA CITY, IA 522421009
Phone: (319) 356-2233
Type: Mailing
1 HOSPITAL DR
COLUMBIA, MO 652120001
Phone: (573) 882-8091
Fax: (573) 884-1902
Type: Location
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $275.
Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: CSL Behring ($219).
Total Amount
$275
General + Research + Ownership
Payments
14
Total payment records
General Amount
$275
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CSL Behring | $219 |
| Janssen Pharmaceuticals, Inc | $42 |
| BioXcel Therapeutics, Inc. | $14 |
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: 2025-11-12
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 |
|---|---|---|---|---|
| I20210809000409 | I | Emergency Medicine | MO | TBD |
| I20251112004001 | I | Emergency Medicine | NC | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 241 | 230 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 186 | 182 | $0 |
| 99291 | Critical care, first 30-74 minutes | 58 | 58 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 52 | 52 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 39 | 38 | $0 |
Insurance plans in this area (ZIP 52242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MO | |
| Emergency Medicine | MO | |
| Emergency Medicine | MO | |
| Emergency Medicine | MO | |
| Emergency Medicine | NC | |
| Family Practice | MO | |
| Emergency Medicine | MO | |
| Emergency Medicine | MO | |
| Emergency Medicine | MO | |
| Family Practice, Emergency Medicine | KS |
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