DR. SCOTT E CLEMENSEN MD
NPI 1104932888
Family Medicine in Boulder, CO

Q: What is Scott Clemensen's NPI number?

The NPI number for Scott Clemensen is 1104932888. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is Scott Clemensen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Clemensen was last updated on April 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment

580 MOHAWK DR, BOULDER, CO 80303(303) 338-4545 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2021, Nov 13, 2019 (2 updates tracked since 2019).

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About Dr. Scott E Clemensen Md NPPES

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

DR. SCOTT E CLEMENSEN MD (NPI 1104932888) is an individual family medicine provider in Boulder, Colorado, licensed in Colorado (47105) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2001).

NPPES Registry Identity

NPI1104932888

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SCOTT E CLEMENSENCredential: MD

Location Address580 MOHAWK DRBoulder, CO 80303-3712

Mailing Address10350 E Dakota AveDenver, CO 80247-1314

Phone(303) 338-4545

Sole ProprietorNo

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2001

Enumeration DateAugust 22, 2006

Last NPPES UpdateApril 20, 20212 updates tracked since enumeration

NPPES CertifiedApril 20, 2021

✔ NPI 1104932888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CO · 47105✔ Licensed in NY · 228550

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

580 MOHAWK DR, Boulder, CO 80303

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Other Identifiers 5

Other19471CO · Kaiser Commercial Number

Medicaid45278857CO

Other7132714NY · Aetna

OtherMDJ022NY · Preferred Care

OtherP010228650NY · Blue Choice

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

Dr. Scott E Clemensen 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 ID9234185984

PECOS Enrollment IDI20081229000624

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 80303 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

CHRISTINE D RINGDAHL PT

Physical Therapist