SIMON HENRY CLEMO MD
NPI 1629064399
Internal Medicine - Cardiovascular Disease in Fredericksburg, VA

Q: What is Simon Clemo's NPI number?

The NPI number for Simon Clemo is 1629064399. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Q: What is Simon Clemo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Simon Clemo was last updated on September 4, 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.

Active since September 27, 2005PECOS Enrolled

1201 SAM PERRY BLVD, SUITE 280, FREDERICKSBURG, VA 22401(540) 741-5501(540) 741-9756 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Simon Henry Clemo Md NPPES

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

SIMON HENRY CLEMO MD (NPI 1629064399) is an individual cardiovascular disease provider in Fredericksburg, Virginia, licensed in Virginia (0101042893) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629064399

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameSIMON HENRY CLEMOCredential: MD

Location Address1201 SAM PERRY BLVD, SUITE 280Fredericksburg, VA 22401-4490

Mailing Address1201 Sam Perry Blvd, Suite 280Fredericksburg, VA 22401-4490 · (540) 741-5501 · Fax (540) 741-9756

Phone(540) 741-5501

Fax(540) 741-9756

Sole ProprietorNo

Enumeration DateSeptember 27, 2005

Last NPPES UpdateSeptember 4, 2023

NPPES CertifiedSeptember 4, 2023

✔ NPI 1629064399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in VA · 0101042893

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1201 SAM PERRY BLVD, Fredericksburg, VA 22401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simon Henry Clemo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Simon Clemo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mary Washington Hospital, Inc.

0.1 mi

Cardiovascular Disease

1001 SAM PERRY BLVD
Fredericksburg, VA 22401

Reassigned Medicare billing, Virginia enrollment
133 clinicians in this Medicare group

NPI 1013089879 (540) 741-1041

Spotsylvania Medical Center Inc.

6.4 mi

Cardiovascular Disease

4600 SPOTSYLVANIA PKWY
Fredericksburg, VA 22408

Reassigned Medicare billing, Virginia enrollment
24 clinicians in this Medicare group

NPI 1891156667 (540) 834-1506

Stafford Hospital, LLC

8.4 mi

General Acute Care Hospital

101 HOSPITAL CENTER BLVD
Stafford, VA 22554

Reassigned Medicare billing, Virginia enrollment
26 clinicians in this Medicare group

NPI 1043343304 (540) 741-1821

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

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.

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.

145 services123 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers18 claims18 services$16.79 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers18 claims18 services$95.04 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 20

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

CAROL GAUDIO

Occupational Therapy Assistant

1201 SAM PERRY BLVD
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 741-1542

MS. SUSAN REIKO HOSHI PT, MSA

Physical Therapist

1201 SAM PERRY BLVD
FREDERICKSBURG, VA 22401

Fredericksburg City (549) 741-1545

MRS. APRIL DAWN HONAKER PT

Physical Therapist

1201 SAM PERRY BLVD
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 741-1547

MRS. KATHRYN JOY BREDBENNER P.T.

Physical Therapist

1201 SAM PERRY BLVD
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 741-1542

ROBERT B VRANIAN MD

Internal Medicine (Cardiovascular Disease)

1201 SAM PERRY BLVD
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 361-2922

THOMAS EARL WHEELER III MD

Internal Medicine (Interventional Cardiology)

1201 SAM PERRY BLVD, SUITE 280
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 361-2922

LAUREN DAVIDSON MD

Student in an Organized Health Care Education/Training Program

1201 SAM PERRY BLVD
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 741-9200

JANNA LOWMAN PT

Physical Therapist

1201 SAM PERRY BLVD
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 741-1547

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 Simon Clemo's NPI number?

The NPI number for Simon Clemo is 1629064399. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Simon Clemo located?

Simon Clemo practices at 1201 Sam Perry Blvd Suite 280, Fredericksburg, VA 22401. The listed phone number is (540) 741-5501.

What is Simon Clemo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Simon Clemo enrolled in Medicare?

Yes. Simon Clemo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Simon Clemo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simon Clemo reassigns Medicare benefits to 3 organizations: Mary Washington Hospital, Inc. (Fredericksburg, VA), Spotsylvania Medical Center Inc. (Fredericksburg, VA) and Stafford Hospital, LLC (Stafford, VA). 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 Simon Clemo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Simon Clemo was last updated on September 4, 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.