DR. SCOTT ANDREW CLEMENTS (M.D.) – Pediatric Endocrinology Physician, NPI 1649478512
Pediatric Endocrinology Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. SCOTT ANDREW CLEMENTS (M.D.)
Mario Capecchi Drive, Salt Lake City, Salt Lake County, Utah, 84412, United States
ECCLES OUTPATIENT BUILDING
SALT LAKE CITY, UT 841131125
Phone: (801) 213-3599
Fax: (801) 587-7539
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 11 Open Payments records for all available years, with a total value of $387.
Total Amount is formed as General ($387) + Research ($0) + Ownership ($0) = $387.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Dexcom, Inc. ($143).
Total Amount
$387
General + Research + Ownership
Payments
11
Total payment records
General Amount
$387
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $143 |
| Alexion Pharmaceuticals, Inc. | $104 |
| BETA BIONICS, INC. | $92 |
| Medtronic, Inc. | $29 |
| Tandem Diabetes Care, Inc. | $20 |
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: 2021-01-25
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 |
|---|---|---|---|---|
| I20130709000764 | I | Pediatric Medicine | UT | TBD |
| I20210125000465 | I | Pediatric Medicine | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84113)
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