1. Home
  2. Directory
  3. Kentucky
  4. Jackson
  5. Internal Medicine
  6. NPI Profile

CLEMENTE V. ZULUETA JR. MD
NPI 1831109743
Internal Medicine - Endocrinology, Diabetes & Metabolism in Jackson, KY

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
95 JACKSON HTS, STE 201, JACKSON, KY 41339(606) 693-1078(606) 693-1079 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clemente V. Zulueta Jr. Md NPPES

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

CLEMENTE V. ZULUETA JR. MD (NPI 1831109743) is an individual endocrinology, diabetes & metabolism provider in Jackson, Kentucky, licensed in Kentucky (36207) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1831109743
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameCLEMENTE V. ZULUETA JR.Credential: MD
Location Address95 JACKSON HTS, STE 201Jackson, KY 41339-6500
Mailing AddressPo Box 908Jackson, KY 41339-0908 · (606) 693-1078 · Fax (606) 693-1079
Phone(606) 693-1078
Fax(606) 693-1079
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 2, 2012
✔ NPI 1831109743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in KY · 36207
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
95 JACKSON HTS, Jackson, KY 41339
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified0922601KY
Medicare UPINH36020KY
Medicaid64028400KY

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

Clemente V. Zulueta Jr. 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 ID7719872308
PECOS Enrollment IDI20040223000054
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 41339 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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.
72%1,417 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
55%588 patients3/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
100%588 patients5/55-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 certified EHR technology to the patient (or the patient-authorized representative), or in…
0%588 patients1/55-star benchmark: 75%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
0%588 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers20 claims52 services$6.70 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.19 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
2 suppliers35 claims35 services$115.70 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 2

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

CLEMENTE V. ZULUETA, JR., MD, PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
95 JACKSON HTS, STE 201
JACKSON, KY 41339
Breathitt County (606) 693-1078
FAMILY MEDICAL SPECIALTY CLINIC D.B.A.
Internal Medicine
95 JACKSON HTS
JACKSON, KY 41339
Breathitt County (606) 693-0199

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 Clemente Zulueta's NPI number?

The NPI number for Clemente Zulueta is 1831109743. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Clemente Zulueta located?

Clemente Zulueta practices at 95 Jackson Hts Ste 201, Jackson, KY 41339. The listed phone number is (606) 693-1078.

What is Clemente Zulueta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Clemente Zulueta enrolled in Medicare?

Yes. Clemente Zulueta 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.

When was this NPI record last updated?

The NPPES record for Clemente Zulueta was last updated on July 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.