DR. DEREK ALAN CLEMMER D.M.D.
NPI 1023322765
Dentist in Ashland, MS

Active since August 05, 2010PECOS Enrolled
15921 BOUNDARY DR, ASHLAND, MS 38603(662) 224-8951 Get Directions Write a Review

NPPES record last updated: August 5, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Derek Alan Clemmer D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEREK ALAN CLEMMER D.M.D. (NPI 1023322765) is an individual dentist in Ashland, Mississippi, licensed in Mississippi (3565-10) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Other.

NPPES Registry Identity

NPI1023322765
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DEREK ALAN CLEMMERCredential: D.M.D.
Location Address15921 BOUNDARY DRAshland, MS 38603-7740
Mailing AddressPo Box 92Ashland, MS 38603-0092 · (662) 224-8951 · Fax (662) 224-6801
Sole ProprietorNo
Medical School CMSOther
Enumeration DateAugust 5, 2010
NPI 1023322765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MS · 3565-10
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

15921 BOUNDARY DR, Ashland, MS 38603

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Derek Alan Clemmer D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658840665
PECOS Enrollment IDI20260519004492
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Bus
15921 BOUNDARY DR
ASHLAND, MS 38603
Social Worker (Clinical)
15921 BOUNDARY DR
ASHLAND, MS 38603
Nurse Practitioner (Family)
15921 BOUNDARY DR
ASHLAND, MS 38603
Dentist (General Practice)
15921 BOUNDARY DR
ASHLAND, MS 38603
Nurse Practitioner (Family)
15921 BOUNDARY DR
ASHLAND, MS 38603
Clinic/Center (Community Health)
15921 BOUNDARY DR
ASHLAND, MS 38603
Nurse Practitioner (Family)
15921 BOUNDARY DR
ASHLAND, MS 38603
Nurse Practitioner
15921 BOUNDARY DR
ASHLAND, MS 38603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Clemmer's NPI number?

The NPI number for Derek Clemmer is 1023322765. It was assigned to this individual provider in the NPPES registry on August 5, 2010.

Where is Derek Clemmer located?

Derek Clemmer practices at 15921 Boundary Dr, Ashland, MS 38603. The listed phone number is (662) 224-8951.

What is Derek Clemmer's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Derek Clemmer enrolled in Medicare?

Yes. Derek Clemmer is registered in the Medicare PECOS enrollment system.

What insurance does Derek Clemmer accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 15 other insurers list Derek Clemmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Clemmer was last updated on August 5, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.