DR. MARK A. CLEMENCE (M.D.) – Internal Medicine Physician, NPI 1255324216
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,941 INTERNAL MEDICINE in WI
Provider Addresses for DR. MARK A. CLEMENCE (M.D.)
PO BOX 689711
MILWAUKEE, WI 532689711
Phone: (414) 456-3100
Fax: (414) 456-3113
Type: Mailing
6080 S 108TH ST
HALES CORNERS, WI 531302557
Phone: (414) 425-5351
Fax: (414) 529-6350
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2008-09-15
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 |
|---|---|---|---|---|
| I20080915000406 | I | Internal Medicine | WI | 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 | 247 | 167 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 187 | 187 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 151 | 119 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 41 | 41 | $0 |
| G0009 | Administration of pneumococcal vaccine | 41 | 41 | $0 |
Insurance plans in this area (ZIP 53268)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | WI | 90670 | Pneumococcal vaccine for injection into muscle | 71 | 71 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Mental Health Counselor | WI | |
| - | WI | |
| Internal Medicine | WI | |
| Hospitalist, Internal Medicine | WI | |
| U R O L O G Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| - | OH | |
| - | WI | |
| - | WI |
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