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COURTNEY MALIA CLEMONS
NPI 1063252377
Physician Assistant in Riverhead, NY

Active since May 27, 2024PECOS EnrolledAccepts Medicare Assignment
1 HEROES WAY, RIVERHEAD, NY 11901(631) 548-6000 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Courtney Malia Clemons NPPES

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

COURTNEY MALIA CLEMONS (NPI 1063252377) is an individual physician assistant in Riverhead, New York, licensed in New York (032654) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Peconic Bay Medical Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2024).

NPPES Registry Identity

NPI1063252377
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY MALIA CLEMONS
Location Address1 HEROES WAYRiverhead, NY 11901-2058
Mailing Address1 Heroes WayRiverhead, NY 11901-2058
Phone(631) 548-6000
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2024
Enumeration DateMay 27, 2024
Last NPPES UpdateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1063252377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 032654
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 HEROES WAY, Riverhead, NY 11901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtney Malia Clemons is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264958487
PECOS Enrollment IDI20250430000867
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Peconic Bay Medical Center

Acute Care Hospitals · Riverhead, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330107
Location1 Heros WayRiverhead, NY 11901 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11901 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

DR. ORSEOLA ARAPI MD
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 546-6446
DR. NICOLE MELISSA CASTRO DO
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 548-6446
JOANNE ELIZABETH COTRONE RPA-C
Physician Assistant
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 548-6200
JARED VINCENT NASSO DO
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 548-6446
MARCELA TROCHA MD, MSC
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 548-6446
SANOORI WELMILLAGE DO
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 548-6446
KASIDY SMITH PA-C
Physician Assistant
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 538-8860
DR. JANE SO M.D.
Obstetrics & Gynecology
1 HEROES WAY
RIVERHEAD, NY 11901
Suffolk County (631) 548-6113

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 Courtney Clemons's NPI number?

The NPI number for Courtney Clemons is 1063252377. It was assigned to this individual provider in the NPPES registry on May 27, 2024.

Where is Courtney Clemons located?

Courtney Clemons practices at 1 Heroes Way, Riverhead, NY 11901. The listed phone number is (631) 548-6000.

What is Courtney Clemons's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Courtney Clemons enrolled in Medicare?

Yes. Courtney Clemons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Courtney Clemons affiliated with any hospitals?

According to CMS data, Courtney Clemons is affiliated with Peconic Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Courtney Clemons was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.