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THOMAS CLEM
NPI 1699425512
Family Medicine in Lakeland, FL

Active since March 24, 2022PECOS EnrolledAccepts Medicare Assignment
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 687-1321 Get Directions Write a Review

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

About Thomas Clem NPPES

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

THOMAS CLEM (NPI 1699425512) is an individual family medicine provider in Lakeland, Florida, licensed in Florida (OS22007) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and maintains a secondary practice location in Lakeland.

NPPES Registry Identity

NPI1699425512
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS CLEM
Location Address1324 LAKELAND HILLS BLVDLakeland, FL 33805-4543
Mailing Address1324 Lakeland Hills BlvdLakeland, FL 33805-4543
Phone(863) 687-1321
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 24, 2022
Last NPPES UpdateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1699425512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS22007
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.
1324 LAKELAND HILLS BLVD, Lakeland, FL 33805
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Secondary Practice Location 1

Location 12400 Kathleen RdLakeland, FL 33810-3077 · Phone (863) 687-1302

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Thomas Clem 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 ID3779959481
PECOS Enrollment IDI20250721000250
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 Reassignment

Medicare enrollment records show Thomas Clem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeland Regional Health Systems, Inc.
0.2 mi
Multi-Specialty
1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 740 clinicians in this Medicare group
NPI 1497748743 (863) 687-7251

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

CHRISTIAN ABREU-RAMIREZ MD
Internal Medicine (Pulmonary Disease)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
JARED MCLAUGHLIN
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
JEFF RIGBY DO
Student in an Organized Health Care Education/Training Program
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
ANDREA BEALE A.R.N.P.
Nurse Practitioner
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 284-5020
MR. TAMI LYNN HOWER ARNP
Nurse Practitioner (Family)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1321
DR. ADALBERTO ALFONSO MD
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1359
DR. BISHOY KOLTA M.D.
Psychiatry & Neurology (Psychiatry)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1275
MICALEIGH NOLL PHARMD
Pharmacist
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100

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 Thomas Clem's NPI number?

The NPI number for Thomas Clem is 1699425512. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Thomas Clem located?

Thomas Clem practices at 1324 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 687-1321.

What is Thomas Clem's specialty?

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

Is Thomas Clem enrolled in Medicare?

Yes. Thomas Clem 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 organization bills Medicare for Thomas Clem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Clem reassigns Medicare benefits to Lakeland Regional Health Systems, Inc. (Lakeland, FL). The 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 Thomas Clem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Clem accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Thomas Clem 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 Thomas Clem affiliated with any hospitals?

According to CMS data, Thomas Clem is affiliated with Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Clem was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.