ADAM J CLEMENS (MD) – Urology Physician, NPI 1477798049
Urology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
568 UROLOGY in OH
Provider Addresses for ADAM J CLEMENS (MD)
1980 TAMARACK RD
NEWARK, OH 430551363
Phone: (220) 564-7520
Fax: (220) 564-7521
Type: Mailing
629 N Sandusky Ave
Bucyrus, OH 448201821
Phone: (419) 468-0732
Type: Location
715 Richland Mall
Ontario, OH 449063802
Phone: (419) 468-0732
Type: Location
Cooper Road, Westerville, Blendon Township, Franklin, Ohio, 43234, United States
SUITE 220
WESTERVILLE, OH 430818054
Phone: (614) 818-0215
Fax: (614) 818-0217
Type: Mailing
700 N COLUMBUS ST STE 220
CRESTLINE, OH 448271455
Phone: (419) 468-0522
Type: Mailing
629 N SANDUSKY AVE
BUCYRUS, OH 448201821
Phone: (419) 468-0732
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $1,292.
Total Amount is formed as General ($1,292) + Research ($0) + Ownership ($0) = $1,292.
Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Teleflex LLC ($821).
Total Amount
$1,292
General + Research + Ownership
Payments
25
Total payment records
General Amount
$1,292
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $821 |
| Laborie Medical Technologies Corp. | $135 |
| UROGEN PHARMA, INC. | $108 |
| PROCEPT BioRobotics Corporation | $45 |
| Janssen Biotech, Inc. | $31 |
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: 2014-05-28
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 |
|---|---|---|---|---|
| I20140528002169 | I | Urology | OH | 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 | 238 | 180 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 179 | 167 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 106 | 106 | $0 |
| 52442 | Insertion of implant in urethra within prostate gland using an endoscope, each additional implant | 97 | 20 | $0 |
| 74420 | Imaging of urinary tract following injection of a contrast agent | 94 | 55 | $0 |
Insurance plans in this area (ZIP 43055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| U R O L O G Y | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Emergency Medicine | OH | |
| Certified Nurse Midwife (Cnm) | OH | |
| Pain Management | OH |
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