JACOB N CLENDENON MD
NPI 1093959231
Transplant Surgery in Jacksonville, FL

Active since April 30, 2009PECOS EnrolledAccepts Medicare Assignment
76.2/100
CMS Quality Rating
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2021, Jan 20, 2021 (2 updates tracked since 2021).

About Jacob N Clendenon Md NPPES

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

JACOB N CLENDENON MD (NPI 1093959231) is an individual transplant surgery provider in Jacksonville, Florida, licensed in Wisconsin (56155-20) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1093959231
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameJACOB N CLENDENONCredential: MD
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2003
Enumeration DateApril 30, 2009
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
NPI 1093959231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
Licenses Licensed in WI · 56155-20 Licensed in FL · ME145251
Definition

A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee

4500 SAN PABLO RD S, Jacksonville, FL 32224

Secondary Practice Location 1

Location 12801 W Kinnickinnic River Pkwy, Suite 530Milwaukee, WI 53215-3669 · Phone (414) 649-5534

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 and accepts Medicare assignment

Jacob N Clendenon 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 ID8921152109
PECOS Enrollment IDI20090822000133
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 2

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.

Transplantation of donor kidney 50360
Transplantation of a donor kidney involves replacing a non-functioning kidney with a healthy one from a donor. This procedure can significantly improve the quality of life for those with serious kidney disease. The new kidney can perform the essential task of filtering blood and removing waste.
27 services27 patients
Preparation of donor kidney for transplantation 50323
Preparation of a kidney for transplantation involves careful evaluation of the donor organ. It includes checking for diseases, ensuring compatibility, and preserving the organ in a cold solution until transplantation. This process ensures the best outcome for the recipient.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.33
Promoting Interoperability100
Improvement Activities40
Cost51.32

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.

Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Gastroenterology)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Orthopaedic Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Hospitalist
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224

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 Jacob Clendenon's NPI number?

The NPI number for Jacob Clendenon is 1093959231. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Jacob Clendenon located?

Jacob Clendenon practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.

What is Jacob Clendenon's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Jacob Clendenon enrolled in Medicare?

Yes. Jacob Clendenon 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.

What insurance does Jacob Clendenon accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jacob Clendenon 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.

Is Jacob Clendenon affiliated with any hospitals?

According to CMS data, Jacob Clendenon is affiliated with Mayo Clinic.

When was this NPI record last updated?

The NPPES record for Jacob Clendenon was last updated on February 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.