SIMON HENRY CLEMO (MD) – Cardiovascular Disease Physician, NPI 1629064399

SIMON HENRY CLEMO (MD) is a healthcare provider. based in Fredericksburg, Virginia. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. 0101042893 (VA). The NPI Number for SIMON HENRY CLEMO (MD) is 1629064399

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
SIMON HENRY CLEMO (MD)
NPI
1629064399
Phone
(540) 741-5501
Address
1201 SAM PERRY BLVD
Enumeration Date
27 September 2005
Last Update Date
4 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
5407411100
Graduation Year
1987 (39 years ago)
PAC ID
7416941869
Group Practice PAC ID
0446143820
Professional Enrollment ID
I20040409000293
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SIMON HENRY CLEMO (MD)

  • 1201, Sam Perry Boulevard, Fredericksburg, Fredericksburg City, Virginia, 22401, United States

    SUITE 280

    FREDERICKSBURG, VA 224014490

    Phone: (540) 741-5501

    Fax: (540) 741-9756

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $1,172.

Total Amount is formed as General ($1,172) + Research ($0) + Ownership ($0) = $1,172.

Last reported payment date: 2024-06-22 • Largest payer in this snapshot: Abbott Laboratories ($269).

Total Amount

$1,172

General + Research + Ownership

Payments

45

Total payment records

General Amount

$1,172

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-04-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040409000293ICardiovascular Disease (Cardiology)VATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes699516$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report11497$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function7171$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6766$0
J2785Injection, regadenoson, 0.1 mg5614$0
View full utilization report →

Insurance plans in this area (ZIP 22401)

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Provider's Procedures

SIMON HENRY CLEMO (MD) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)VA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report951753

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446143820View full group profile
NameSpecialtyState
Internal MedicineVA
Hospitalist, Internal Medicine, Internal MedicineVA
Internal MedicineSC
Internal MedicineVA
Internal MedicineNY
Internal MedicineVA
Family PracticeVA
-VA
Nurse PractitionerNC
Family PracticeVA

Reviews

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Frequently asked questions

Can I verify SIMON HENRY CLEMO (MD) with an NPI only?
You can start verification with NPI 1629064399 for SIMON HENRY CLEMO (MD), then check state licensing separately.
Does the file indicate SIMON HENRY CLEMO (MD) is practicing under active NPI?
Directory data currently reports SIMON HENRY CLEMO (MD) as active.
What healthcare role does SIMON HENRY CLEMO (MD) hold?
Scheduling teams often label SIMON HENRY CLEMO (MD) under Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What area does SIMON HENRY CLEMO (MD) serve?
SIMON HENRY CLEMO (MD)'s listing highlights Fredericksburg, Virginia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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