MR. CAMERON DARIUS CLEMENT (PA-C) – Physician Assistant, NPI 1023038916
Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MR. CAMERON DARIUS CLEMENT (PA-C)
820 S McClellan St Ste 118
Spokane, WA 992042446
Phone: (509) 838-1010
Fax: (509) 838-0721
Type: Location
3880 ROGER BROOKE DR.
C/O GENERAL SURGERY DEPT/SAMMC
FORT SAM HOUSTON, TX 782348548
Phone: (509) 590-8908
Type: Location
21327, La Pena Drive, Las Lomas, San Antonio, Bexar County, Texas, 78258, United States
SAN ANTONIO, TX 782582939
Phone: (509) 590-8908
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ABBVIE INC. ($106).
Total Amount
$122
General + Research + Ownership
Payments
2
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $106 |
| Solventum Corporation | $16 |
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: 2008-05-21
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 |
|---|---|---|---|---|
| I20080521000214 | I | Physician Assistant | WA | 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 |
|---|---|---|---|---|
| 14301 | Repair of wound by transferring skin, 30.1-60.0 sq cm | 11 | 11 | $0 |
Insurance plans in this area (ZIP 99204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | UT | |
| - | WA | |
| Plastic And Reconstructive Surgery | WA | |
| Hand Surgery, Plastic And Reconstructive Surgery | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Plastic And Reconstructive Surgery | WA | |
| Physician Assistant | WA | |
| Plastic And Reconstructive Surgery | WA |
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