SAMUEL CLELLEN
NPI 1124607585
Podiatrist in Louisville, KY

Q: What is Samuel Clellen's NPI number?

The NPI number for Samuel Clellen is 1124607585. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Q: What is Samuel Clellen's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Clellen was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 05, 2021PECOS EnrolledAccepts Medicare Assignment

3 AUDUBON PLAZA DR STE 320, LOUISVILLE, KY 40217(502) 893-1844 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2026, Jul 1, 2024, Apr 5, 2021 (3 updates tracked since 2021).

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About Samuel Clellen NPPES

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

SAMUEL CLELLEN (NPI 1124607585) is an individual podiatrist in Louisville, Kentucky, licensed in Kentucky (298939) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and maintains a secondary practice location in Jeffersonville.

NPPES Registry Identity

NPI1124607585

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameSAMUEL CLELLEN

Location Address3 AUDUBON PLAZA DR STE 320Louisville, KY 40217-1319

Mailing Address3 Audubon Plaza Dr Ste 320Louisville, KY 40217-1319 · (502) 893-1844

Phone(502) 893-1844

Sole ProprietorNo

Medical School CMSBarry University School Of Podiatric MedicineGraduated 2021

Enumeration DateApril 5, 2021

Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1124607585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in KY · 298939

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

3 AUDUBON PLAZA DR STE 320, Louisville, KY 40217

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Secondary Practice Location 1

Location 11802 Allison LnJeffersonville, IN 47130-5809 · Phone (502) 893-1844

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

Samuel Clellen 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 ID6103368857

PECOS Enrollment IDI20250725003939, I20250801002362

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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services26 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

15 services12 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services11 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

12 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Wellspan York Hospital

Acute Care Hospitals · York, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390046

Location1001 South George StreetYork, PA 17403 · York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 4

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

CARL A. KIHM DPM

Podiatrist (Foot & Ankle Surgery)

3 AUDUBON PLAZA DR STE 320
LOUISVILLE, KY 40217

Jefferson County (502) 893-1844

DR. JAY LECHNER DPM

Podiatrist (Foot & Ankle Surgery)

3 AUDUBON PLAZA DR STE 320
LOUISVILLE, KY 40217

Jefferson County (502) 893-1844

UNIVERSITY FOOT AND ANKLE CENTER LLC

Clinic/Center (Podiatric)

3 AUDUBON PLAZA DR STE 320
LOUISVILLE, KY 40217

Jefferson County (502) 893-1844

DR. BRAXTON HARRIS RIDER D.P.M

Podiatrist

3 AUDUBON PLAZA DR STE 320
LOUISVILLE, KY 40217

Jefferson County (502) 893-1844

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 Samuel Clellen's NPI number?

The NPI number for Samuel Clellen is 1124607585. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Samuel Clellen located?

Samuel Clellen practices at 3 Audubon Plaza Dr Ste 320, Louisville, KY 40217. The listed phone number is (502) 893-1844.

What is Samuel Clellen's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Samuel Clellen enrolled in Medicare?

Yes. Samuel Clellen 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 Samuel Clellen affiliated with any hospitals?

According to CMS data, Samuel Clellen is affiliated with Norton Hospitals, Inc and Wellspan York Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Clellen was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.