JODIE M CLEMENTSON DO
NPI 1396245684
Surgery in Little Rock, AR

Active since February 14, 2018PECOS EnrolledAccepts Medicare Assignment
9500 KANIS RD STE 501, LITTLE ROCK, AR 72205(501) 227-9080(501) 227-0490 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Sep 1, 2023, Feb 14, 2018 (3 updates tracked since 2018).

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

NPI1396245684
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameJODIE M CLEMENTSONCredential: DO
Location Address9500 KANIS RD STE 501Little Rock, AR 72205-6389
Mailing Address9500 Kanis Rd Ste 501Little Rock, AR 72205-6389 · (501) 227-9080 · Fax (501) 227-0490
Fax(501) 227-0490
Sole ProprietorNo
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2018
Enumeration DateFebruary 14, 2018
Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
NPI 1396245684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in AR · E-16285
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
9500 KANIS RD STE 501, Little Rock, AR 72205

Accepted 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

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.

PECOS PAC ID3375907587
PECOS Enrollment IDI20230906002931
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.

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.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

Physician Assistant (Surgical)
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205
Surgery
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205
Physician Assistant
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205
Nurse Practitioner (Family)
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205
Surgery (Surgical Oncology)
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205
Surgery
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205
Surgery
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205
Registered Nurse (Registered Nurse First Assistant)
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205

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.

What insurance does Jodie Clementson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 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 22 months 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.