JERRY EUGENE CLEMENTS MD
NPI 1285721662
Family Medicine in New York, NY

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
30 5TH AVE, 1E, NEW YORK, NY 10011(212) 477-1750(212) 477-3377 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerry Eugene Clements Md NPPES

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

JERRY EUGENE CLEMENTS MD (NPI 1285721662) is an individual family medicine provider in New York, New York, licensed in New York (166889) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1285721662
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJERRY EUGENE CLEMENTSCredential: MD
Location Address30 5TH AVE, 1ENew York, NY 10011-8859
Mailing Address30 5th Ave, 1eNew York, NY 10011-8859 · (212) 477-1750 · Fax (212) 477-3377
Fax(212) 477-3377
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 22, 2014
NPI 1285721662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 166889
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.

30 5TH AVE, New York, NY 10011

Other Identifiers 2

Medicare ID-Type Unspecified09F531NY
Medicare UPIND92025

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

Jerry Eugene Clements 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 ID7113075151
PECOS Enrollment IDI20090501000268
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.

Insertion of needle into vein (3 years or older) 36410
This procedure involves placing a small needle into a vein, typically in the arm. It's done to collect blood for testing or to deliver medication. You may feel a quick pinch, but it's usually over in seconds. It's a common, safe procedure.
93 services71 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.
85 services52 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
68 services68 patients
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.
30 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 2

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers228 claims880 services$212.56 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
1 supplier121 claims121 services$221.14 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 13

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

Dentist (Orthodontics and Dentofacial Orthopedics)
30 5TH AVE, SUITE 1J.K.
NEW YORK, NY 10011
Psychologist
30 5TH AVE
NEW YORK, NY 10011
Dentist (Orthodontics and Dentofacial Orthopedics)
30 5TH AVE, APT 1K
NEW YORK, NY 10011
Clinic/Center (Primary Care)
30 5TH AVE, 1E
NEW YORK, NY 10011
Psychologist (Clinical)
30 5TH AVE
NEW YORK, NY 10011
Specialist
30 5TH AVE, 1E
NEW YORK, NY 10011
Dentist (Orthodontics and Dentofacial Orthopedics)
30 5TH AVE, SUITE 1J.K.
NEW YORK, NY 10011
Internal Medicine
30 5TH AVE, SUITE1B
NEW YORK, NY 10011

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 Jerry Clements's NPI number?

The NPI number for Jerry Clements is 1285721662. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Jerry Clements located?

Jerry Clements practices at 30 5th Ave 1E, New York, NY 10011. The listed phone number is (212) 477-1750.

What is Jerry Clements's specialty?

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

Is Jerry Clements enrolled in Medicare?

Yes. Jerry Clements 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.

When was this NPI record last updated?

The NPPES record for Jerry Clements was last updated on July 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.