Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS CLEMM MD
NPI 1073076642
Internal Medicine in Washington, DC

Q: What is Nicholas Clemm's NPI number?

The NPI number for Nicholas Clemm is 1073076642. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Q: What is Nicholas Clemm's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Clemm was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.

Active since April 10, 2019PECOS Enrolled

5255 LOUGHBORO RD NW, WASHINGTON, DC 20016(202) 537-4000 Get Directions Write a Review

NPPES record last updated: August 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2026, Oct 30, 2023, Jun 12, 2023 and 1 more (4 updates tracked since 2019).

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About Nicholas Clemm Md NPPES

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

NICHOLAS CLEMM MD (NPI 1073076642) is an individual internal medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD210012139) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Salisbury, and is a graduate of Medical College Of Georgia School Of Medicine (2019).

NPPES Registry Identity

NPI1073076642

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameNICHOLAS CLEMMCredential: MD

Location Address5255 LOUGHBORO RD NWWashington, DC 20016-2633

Mailing Address5255 Loughboro Rd NwWashington, DC 20016-2696 · (202) 547-4000

Phone(202) 537-4000

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2019

Enumeration DateApril 10, 2019

Last NPPES UpdateAugust 1, 20264 updates tracked since enumeration

NPPES CertifiedAugust 1, 2026

✔ NPI 1073076642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in DC · MD210012139

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License D0098355 (MD)

5255 LOUGHBORO RD NW, Washington, DC 20016

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Secondary Practice Location 1

Location 1100 E Carroll StSalisbury, MD 21801-5422 · Phone (410) 546-6400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Nicholas Clemm Md 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 ID2264895549

PECOS Enrollment IDI20230905001417

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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

266 services120 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

94 services94 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

59 services39 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

29 services29 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

29 services23 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

28 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

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.

DANIEL RICHARD STAIRIKER CRNP

Nurse Practitioner