KATHLEEN J CLEM MD
NPI 1154404309
Emergency Medicine in Durham, NC
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kathleen Clem reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Keene, NH 03431
- Reassigned Medicare billing, New Hampshire enrollment
- 2,999 clinicians in this Medicare group
Hampstead, NH 03841
- Reassigned Medicare billing, New Hampshire enrollment
- 2,620 clinicians in this Medicare group
Lebanon, NH 03766
- Reassigned Medicare billing, New Hampshire enrollment
- Also billed through NPI 1003803495 (New Hampshire)
- 283 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NHPhysician 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.
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.
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.
DURHAM, NC 27710
DURHAM, NC 27710
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.
Which organizations bill Medicare for Kathleen Clem's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Clem reassigns Medicare benefits to 3 organizations: Dartmouth-Hitchcock Clinic (Keene, NH), Mary Hitchcock Memorial Hospital (Hampstead, NH) and Alice Peck Day Memorial Hospital (Lebanon, NH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Clem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Clem accept?
Health plans from Taro Health list Kathleen Clem 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 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.
# Kathleen J Clem, MD · NPI 1154404309
Emergency Medicine physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since October 23, 2006.
## Identity
- **NPI:** 1154404309 (Entity type: Individual)
- **Enumerated:** October 23, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 98-01211 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** DUKE UNIVERSITY MEDICAL CTR, Durham, NC 27710-0001
- **Phone:** (919) 620-4467
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Dartmouth-Hitchcock Clinic (NPI 1174176861, Keene, NH); Mary Hitchcock Memorial Hospital (NPI 1699584219, Hampstead, NH); Alice Peck Day Memorial Hospital (NPI 1093761892, Lebanon, NH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 1989
## Record status
- **NPPES last updated:** January 9, 2020
- **Other identifiers:** Medicaid 891169M (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1154404309) · Data from the CMS NPPES public registry.