KATHLEEN J CLEM MD
NPI 1154404309
Emergency Medicine in Durham, NC

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
86.78/100
CMS Quality Rating
DUKE UNIVERSITY MEDICAL CTR, DURHAM, NC 27710(919) 620-4467 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen J Clem Md NPPES

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

KATHLEEN J CLEM MD (NPI 1154404309) is an individual emergency medicine provider in Durham, North Carolina, licensed in North Carolina (98-01211) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1154404309
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKATHLEEN J CLEMCredential: MD
Location AddressDUKE UNIVERSITY MEDICAL CTRDurham, NC 27710-0001
Mailing AddressDuke University Medical Ctr, Dumc 3096Durham, NC 27710-0001
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1989
Enumeration DateOctober 23, 2006
Last NPPES UpdateJanuary 9, 2020
NPI 1154404309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in NC · 98-01211 Licensed in NH · 20071
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
DUKE UNIVERSITY MEDICAL CTR, Durham, NC 27710

Secondary Practice Location 1

Location 11 Medical Center DrLebanon, NH 03756-0001 · Phone (603) 650-7254

Other Identifiers 1

Medicaid891169MNC

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

Kathleen J Clem 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 ID1850305624
PECOS Enrollment IDI20200130002125
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
207 services203 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
53 services51 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

86.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.97
Promoting Interoperability100
Improvement Activities40

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.

Psychologist (Clinical)
DUKE UNIVERSITY MEDICAL CTR, DEPARTMENT OF PSYCHIATRY
DURHAM, NC 27710
Pediatrics
DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
Internal Medicine (Hematology & Oncology)
DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
Emergency Medicine
DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
Internal Medicine
DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
Pediatrics (Pediatric Cardiology)
DUKE UNIVERSITY MEDICAL CTR, BOX 3951
DURHAM, NC 27710
Internal Medicine (Rheumatology)
DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
Neurological Surgery
DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710

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 Kathleen Clem's NPI number?

The NPI number for Kathleen Clem is 1154404309. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Kathleen Clem located?

Kathleen Clem practices at Duke University Medical Ctr, Durham, NC 27710. The listed phone number is (919) 620-4467.

What is Kathleen Clem's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kathleen Clem enrolled in Medicare?

Yes. Kathleen Clem 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 Kathleen Clem affiliated with any hospitals?

According to CMS data, Kathleen Clem is affiliated with Mary Hitchcock Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Clem was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.