JEFFREY L. CLEMONS (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician, NPI 1396711529

JEFFREY L. CLEMONS (M.D.) is a healthcare provider. based in Tacoma, Washington. specializing in OBSTETRICS/GYNECOLOGY, UROLOGY. They hold the professional credentials M.D.. They hold a License No. MD00031405 (WA). The NPI Number for JEFFREY L. CLEMONS (M.D.) is 1396711529

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY L. CLEMONS (M.D.)
NPI
1396711529
Phone
(253) 301-5120
Address
1901 S UNION AVE
Enumeration Date
27 February 2006
Last Update Date
26 November 2013

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3602933101
Graduation Year
1991 (35 years ago)
PAC ID
6002064607
Group Practice PAC ID
1153225198
Professional Enrollment ID
I20120924000089
Address ID
WA982212595AN1213XSTXX301
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

1,037 OBSTETRICS/GYNECOLOGY in WA

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Provider Addresses for JEFFREY L. CLEMONS (M.D.)

  • MultiCare Allenmore Hospital, 1901, South Union Avenue, Tacoma, Pierce County, Washington, 98405, United States

    B2006

    TACOMA, WA 984051702

    Phone: (253) 301-5120

    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 3 Open Payments records for all available years, with a total value of $283.

Total Amount is formed as General ($283) + Research ($0) + Ownership ($0) = $283.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: BLUEWIND MEDICAL ($147).

Total Amount

$283

General + Research + Ownership

Payments

3

Total payment records

General Amount

$283

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

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: 2012-09-24

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
I20120924000089IObstetrics/GynecologyWATBD

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
J0585Injection, onabotulinumtoxina, 1 unit1,90016$0
99213Established patient office or other outpatient visit, 20-29 minutes6254$0
51701Insertion of temporary bladder tube5756$0
51797Insertion of device into abdomen with pressure and urine flow rate study4740$0
51741Electronic assessment of bladder emptying4639$0
View full utilization report →

Insurance plans in this area (ZIP 98405)

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Provider's Procedures

JEFFREY L. CLEMONS (M.D.) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYWA81002Urinalysis, manual test2925

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: 1153225198View full group profile
NameSpecialtyState
Physician AssistantWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Critical Care (Intensivists), Pulmonary Disease, Pulmonary Disease, Critical Care (Intensivists)FL
-WA
-NV
Family PracticeOR
-WA
-WA
-WA
Family PracticeMT

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Frequently asked questions

What is the standard ID for JEFFREY L. CLEMONS (M.D.) in the U.S.?
In the U.S., JEFFREY L. CLEMONS (M.D.) is identified by NPI 1396711529.
Should I treat JEFFREY L. CLEMONS (M.D.) as an active provider?
Patients and plans typically see JEFFREY L. CLEMONS (M.D.) as active in the national extract.
Which specialty label fits JEFFREY L. CLEMONS (M.D.)?
NPPES ties JEFFREY L. CLEMONS (M.D.) to Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is JEFFREY L. CLEMONS (M.D.) tied to Tacoma, Washington?
If you are local to Tacoma, Washington, JEFFREY L. CLEMONS (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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