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BETSY F. CLEMENS M.D.
NPI 1700850443
Family Medicine in Creve Coeur, MO

Active since February 16, 2006PECOS EnrolledAccepts Medicare Assignment
450 N NEW BALLAS RD, SUITE 266N, CREVE COEUR, MO 63141(314) 991-9888(314) 991-9886 Get Directions Write a Review

NPPES record last updated: December 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2020, Jan 9, 2019 (2 updates tracked since 2019).

About Betsy F. Clemens M.d. NPPES

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

BETSY F. CLEMENS M.D. (NPI 1700850443) is an individual family medicine provider in Creve Coeur, Missouri, licensed in Missouri (106302) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (1990).

NPPES Registry Identity

NPI1700850443
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBETSY F. CLEMENSCredential: M.D.
Location Address450 N NEW BALLAS RD, SUITE 266NCreve Coeur, MO 63141-6835
Mailing Address450 N New Ballas Rd, Suite 266nCreve Coeur, MO 63141-6835 · (314) 991-9888 · Fax (314) 991-9886
Phone(314) 991-9888
Fax(314) 991-9886
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1990
Enumeration DateFebruary 16, 2006
Last NPPES UpdateDecember 5, 20202 updates tracked since enumeration
NPPES CertifiedDecember 5, 2020
✔ NPI 1700850443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 106302
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.
450 N NEW BALLAS RD, Creve Coeur, MO 63141
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Other Identifiers 1

Medicaid208226903MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Betsy F. Clemens M.d. 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 ID2365549201
PECOS Enrollment IDI20070529000519
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 4

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.

Destruction of internal hemorrhoids using heat 46930
This procedure involves using heat to treat internal hemorrhoids. A specialized device generates heat to shrink the hemorrhoid, alleviating discomfort. It's a quick, minimally invasive process with a fast recovery time. It's a common, safe procedure for hemorrhoid relief.
78 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
21 services20 patients
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.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
70%188 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
80%415 patients4/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,078 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%400 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%873 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
5%1,042 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%1,042 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%1,042 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
36%1,042 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

HHC ASC, LLC
Clinic/Center (Ambulatory Surgical)
450 N NEW BALLAS RD, STE. 206 SOUTH WING
SAINT LOUIS, MO 63141
St. Louis County (314) 993-6969
MARK F. HESKER, D.D.S., P.C.
Dentist (General Practice)
450 N NEW BALLAS RD, SUITE #200
SAINT LOUIS, MO 63141
St. Louis County (314) 569-3337
BALLAS OUTPATIENT SURGERY CENTER LP
Clinic/Center (Ambulatory Surgical)
450 N NEW BALLAS RD, STE 103
SAINT LOUIS, MO 63141
St. Louis County (314) 991-0776
THE HEART HEALTH CENTER CATH LAB, LLC
Internal Medicine (Cardiovascular Disease)
450 N NEW BALLAS RD, STE 170W
SAINT LOUIS, MO 63141
St. Louis County (314) 993-6969
MS. SUSAN RATHGEB AUD
Audiologist
450 N NEW BALLAS RD, DEPT OTOLARYNGOLOGY, STE 140
SAINT LOUIS, MO 63141
St. Louis County (314) 362-7509
DR. STEPHEN J PIEPER MD
Internal Medicine (Clinical Cardiac Electrophysiology)
450 N NEW BALLAS RD, STE 270 W
SAINT LOUIS, MO 63141
St. Louis County (314) 991-6969
ORTHO SPORT & SPINE PHYSICIANS OF MISSOURI, LLC
Physical Medicine & Rehabilitation
450 N NEW BALLAS RD
CREVE COEUR, MO 63141
St. Louis County (314) 390-0135
HHC HEALTH CARE, LLC
Internal Medicine (Cardiovascular Disease)
450 N NEW BALLAS RD, STE 270 WEST WING
SAINT LOUIS, MO 63141
St. Louis County (314) 993-6969

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 Betsy Clemens's NPI number?

The NPI number for Betsy Clemens is 1700850443. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Betsy Clemens located?

Betsy Clemens practices at 450 N New Ballas Rd Suite 266N, Creve Coeur, MO 63141. The listed phone number is (314) 991-9888.

What is Betsy Clemens's specialty?

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

Is Betsy Clemens enrolled in Medicare?

Yes. Betsy Clemens 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 Betsy Clemens accept?

Health plans from UnitedHealthcare list Betsy Clemens 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 Betsy Clemens was last updated on December 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.