PETER CLEMENS (DO) – Family Medicine Physician, NPI 1487858940
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PETER CLEMENS (DO)
3031, Northeast Stephens Street, Roseburg, Douglas County, Oregon, 97470, United States
ROSEBURG, OR 97470
Phone: (541) 229-7038
Fax: (541) 464-4474
Type: Location
PO BOX 1700
ROSEBURG, OR 974700414
Phone: (541) 229-7038
Fax: (541) 464-4474
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $113.
Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.
Last reported payment date: 2024-03-12 • Largest payer in this snapshot: ABBVIE INC. ($67).
Total Amount
$113
General + Research + Ownership
Payments
5
Total payment records
General Amount
$113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $67 |
| Lilly USA, LLC | $19 |
| Merck Sharp & Dohme LLC | $14 |
| Neurocrine BioSciences, Inc. | $13 |
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: 2023-09-20
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 |
|---|---|---|---|---|
| I20190222001667 | I | Family Practice | OR | TBD |
| I20230920002110 | I | Family Practice | MT | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 15 | $0 |
Insurance plans in this area (ZIP 97470)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | UT | 11042 | Removal of skin and tissue first 20 sq cm or less | 223 | 64 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| Family Practice | OR | |
| - | OR | |
| Physician Assistant | OR | |
| Family Practice | OR | |
| Nurse Practitioner | OR |
Reviews
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