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DR. DEREK ARTHUR KLEMM D.O., PHARM.D.
NPI 1225300494
Family Medicine - Addiction Medicine in Demorest, GA

Active since February 03, 2012PECOS EnrolledAccepts Medicare Assignment
396 HISTORIC HIGHWAY 441 N, DEMOREST, GA 30535(706) 754-4348(706) 754-0731 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2023, Jul 3, 2018 (2 updates tracked since 2018).

About Dr. Derek Arthur Klemm D.o., Pharm.d. NPPES

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

DR. DEREK ARTHUR KLEMM D.O., PHARM.D. (NPI 1225300494) is an individual addiction medicine provider in Demorest, Georgia, licensed in Georgia (080289) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2015).

NPPES Registry Identity

NPI1225300494
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameDR. DEREK ARTHUR KLEMMCredential: D.O., PHARM.D.
Location Address396 HISTORIC HIGHWAY 441 NDemorest, GA 30535
Mailing AddressPo Box 459Colbert, GA 30628-0459 · (706) 788-3234
Phone(706) 754-4348
Fax(706) 754-0731
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2015
Enumeration DateFebruary 3, 2012
Last NPPES UpdateMarch 10, 20232 updates tracked since enumeration
NPPES CertifiedMarch 16, 2021
✔ NPI 1225300494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in GA · 080289
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedPharmacistTaxonomy 183500000X · License PS47555 (FL)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 080289 (GA), OS14186 (FL)
Also ListedGeneral PracticeTaxonomy 208D00000X · License UO4670 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
396 HISTORIC HIGHWAY 441 N, Demorest, GA 30535
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Other Identifiers 1

Other080289GA · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Dr. Derek Arthur Klemm D.o., Pharm.d. 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 ID8729332242
PECOS Enrollment IDI20181119002180
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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
35 services23 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30535 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers15 claims15 services$119.68 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers16 claims43 services$42.55 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$21.47 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers25 claims137 services$2.63 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$923.20 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier19 claims19 services$4.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

CHRISTA DAWN SMITH NP-C
Nurse Practitioner (Family)
396 HISTORIC HIGHWAY 441 N
DEMOREST, GA 30535
Habersham County (706) 754-4348
BARBARA PARSONS PA
Physician Assistant
396 HISTORIC HIGHWAY 441 N
DEMOREST, GA 30535
Habersham County (706) 754-4348
PAULA SUSANNE PRICE RN,MSN,FNP-C
Nurse Practitioner (Family)
396 HISTORIC HIGHWAY 441 N
DEMOREST, GA 30535
Habersham County (706) 754-4348

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 Derek Klemm's NPI number?

The NPI number for Derek Klemm is 1225300494. It was assigned to this individual provider in the NPPES registry on February 3, 2012.

Where is Derek Klemm located?

Derek Klemm practices at 396 Historic Highway 441 N, Demorest, GA 30535. The listed phone number is (706) 754-4348.

What is Derek Klemm's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Derek Klemm enrolled in Medicare?

Yes. Derek Klemm 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 Derek Klemm accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Derek Klemm 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 Derek Klemm affiliated with any hospitals?

According to CMS data, Derek Klemm is affiliated with Northeast Georgia Medical Center, Inc, Northeast Georgia Medical Center Habersham and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Derek Klemm was last updated on March 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.