ANDREW R CLEMENTZ MD
NPI 1689171621
Family Medicine in Atlanta, GA

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment
91.6/100
CMS Quality Rating
1863 MEMORIAL DR SE, ATLANTA, GA 30317(470) 717-0719 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2022, Jun 30, 2021, Jul 19, 2018 and 1 more (4 updates tracked since 2018).

About Andrew R Clementz Md NPPES

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

ANDREW R CLEMENTZ MD (NPI 1689171621) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (83828) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689171621
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW R CLEMENTZCredential: MD
Location Address1863 MEMORIAL DR SEAtlanta, GA 30317-2103
Mailing Address1220 Caroline St Ne Ste A-230Atlanta, GA 30307-2749 · (678) 710-3980 · Fax (404) 778-6901
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 6, 2018
Last NPPES UpdateSeptember 30, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
NPI 1689171621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 83828
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.
1863 MEMORIAL DR SE, Atlanta, GA 30317

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

Andrew R Clementz 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 ID5193074920
PECOS Enrollment IDI20230718000298
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 16

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.
545 services256 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
174 services104 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
82 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
37 services37 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.
36 services34 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
36 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100258
Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30317 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.42
Promoting Interoperability100
Improvement Activities40
Cost73

Other Providers at the Same Location NPPES 10

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

Pediatrics
1863 MEMORIAL DR SE, KIRKWOOD HEALTH CENTER
ATLANTA, GA 30317
Nurse Practitioner (Family)
1863 MEMORIAL DR SE
ATLANTA, GA 30317
Pharmacy (Community/Retail Pharmacy)
1863 MEMORIAL DR SE
ATLANTA, GA 30317
Family Medicine
1863 MEMORIAL DR SE
ATLANTA, GA 30317
Internal Medicine
1863 MEMORIAL DR SE
ATLANTA, GA 30317
Family Medicine
1863 MEMORIAL DR SE
ATLANTA, GA 30317
Pediatrics
1863 MEMORIAL DR SE
ATLANTA, GA 30317
Internal Medicine
1863 MEMORIAL DR SE
ATLANTA, GA 30317

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 Andrew Clementz's NPI number?

The NPI number for Andrew Clementz is 1689171621. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Andrew Clementz located?

Andrew Clementz practices at 1863 Memorial Dr SE, Atlanta, GA 30317. The listed phone number is (470) 717-0719.

What is Andrew Clementz's specialty?

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

Is Andrew Clementz enrolled in Medicare?

Yes. Andrew Clementz 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 Andrew Clementz accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Andrew Clementz 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 Andrew Clementz affiliated with any hospitals?

According to CMS data, Andrew Clementz is affiliated with Boca Raton Regional Hospital and Delray Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Clementz was last updated on September 30, 2022. 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.