JODIE M CLEMENTSON DO
NPI 1396245684
Surgery in Little Rock, AR
About Jodie M Clementson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODIE M CLEMENTSON DO (NPI 1396245684) is an individual surgery provider in Little Rock, Arkansas, licensed in Arkansas (E-16285) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Rocky Vista University College Of Osteopathic Med (2018).
NPPES Registry Identity
Specialties & Licenses
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
Jodie M Clementson Do 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
2Medicare enrollment records show Jodie Clementson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 21 clinicians in this Medicare group
Little Rock, AR 72211
- Reassigned Medicare billing, Arkansas enrollment
- 2,038 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jodie Clementson's NPI number?
The NPI number for Jodie Clementson is 1396245684. It was assigned to this individual provider in the NPPES registry on February 14, 2018.
Where is Jodie Clementson located?
Jodie Clementson practices at 9500 Kanis Rd Ste 501, Little Rock, AR 72205. The listed phone number is (501) 227-9080.
What is Jodie Clementson's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Jodie Clementson enrolled in Medicare?
Yes. Jodie Clementson 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 Jodie Clementson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jodie Clementson reassigns Medicare benefits to 2 organizations: Arkansas Health Group (Little Rock, AR) and University Of Arkansas For Medical Sciences (Little Rock, AR). 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 Jodie Clementson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jodie Clementson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Jodie Clementson 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.
When was this NPI record last updated?
The NPPES record for Jodie Clementson was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jodie M Clementson, DO · NPI 1396245684
Surgery physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since February 14, 2018.
## Identity
- **NPI:** 1396245684 (Entity type: Individual)
- **Enumerated:** February 14, 2018
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** E-16285 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 9500 KANIS RD STE 501, Little Rock, AR 72205-6389
- **Phone:** (501) 227-9080 · **Fax:** (501) 227-0490
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Arkansas Health Group (NPI 1760024459, Little Rock, AR); University Of Arkansas For Medical Sciences (NPI 1386317345, Little Rock, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rocky Vista University College Of Osteopathic Med, class of 2018
## Record status
- **NPPES last updated:** September 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396245684) · Data from the CMS NPPES public registry.