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DR. MICHAEL STEVEN CLEMENS M.D.
NPI 1871852095
Surgery in Morganton, NC

Active since May 08, 2012PECOS EnrolledAccepts Medicare Assignment
2209 S STERLING ST STE 600, MORGANTON, NC 28655(828) 580-2250(828) 580-2252 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Steven Clemens M.d. NPPES

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

DR. MICHAEL STEVEN CLEMENS M.D. (NPI 1871852095) is an individual surgery provider in Morganton, North Carolina, licensed in North Carolina (2018-01943) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871852095
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL STEVEN CLEMENSCredential: M.D.
Location Address2209 S STERLING ST STE 600Morganton, NC 28655-4092
Mailing Address2209 S Sterling St Ste 600Morganton, NC 28655-4092 · (828) 580-2250 · Fax (828) 580-2252
Phone(828) 580-2250
Fax(828) 580-2252
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2012
Enumeration DateMay 8, 2012
Last NPPES UpdateJanuary 30, 2019
✔ NPI 1871852095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 2018-01943
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 27572 (NE)
2209 S STERLING ST STE 600, Morganton, NC 28655
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1730 Malcolm Blvd Ste 100Connelly Springs, NC 28612-8079 · Phone (828) 580-2250 · Fax (828) 580-2252
Location 23551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · Phone (210) 916-0439

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Dr. Michael Steven 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 ID2062758840
PECOS Enrollment IDI20190116000360
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

7

Medicare enrollment records show Michael Clemens reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ridge Healthcare Medical Group, Inc.
Same address
Obstetrics & Gynecology
2209 S STERLING ST, SUITE 400
Morganton, NC 28655
  • Reassigned Medicare billing, North Carolina enrollment
  • 322 clinicians in this Medicare group
NPI 1245486067 (828) 580-4661
Carolinas Physicians Network Inc
0.1 mi
Endocrinology, Diabetes & Metabolism
2209 S STERLING ST, SUITE 530
Morganton, NC 28655
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
NPI 1962784363 (980) 212-7120
Atrium Health Childrens Specialty Network Inc
20 mi
Pediatric Endocrinology
1781 TATE BLVD SE
Hickory, NC 28602
  • Reassigned Medicare billing, North Carolina enrollment
  • 35 clinicians in this Medicare group
NPI 1962218057 (704) 512-3636
The Charlotte-Mecklenburg Hospital Authority
30 mi
General Practice
201 E GROVER ST
Shelby, NC 28150
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1225435126 (980) 487-7427
Carolinas Medical Center
53 mi
Psychiatry
16740 DAVIDSON CONCORD RD, STE 200
Davidson, NC 28036
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1629412184 (704) 801-9200
Wake Forest University Health Sciences
81 mi
Multi-Specialty
1303 GREENSBORO STREET EXT
Lexington, NC 27295
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1639454499 (336) 716-2255
Scotland Memorial Hospital, Inc.
134 mi
Surgery
1007 CHERAW ST
Bennettsville, SC 29512
  • Reassigned Medicare billing, North Carolina enrollment
  • 476 clinicians in this Medicare group
NPI 1598143620 (843) 535-0939

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 3

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28655 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 11

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

DR. ELIE FARES MD
Internal Medicine
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 580-4577
ANDREA MICHELLE PFEFFER PA-C
Physician Assistant
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 580-4577
JAMES F DAVIDSON IV M.D.
Internal Medicine (Pulmonary Disease)
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 580-4577
ERIC TAVIS SEVENSMA D.O.
Surgery
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 580-2250
STEPHEN P PROHASKA PA
Physician Assistant
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 580-4577
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Internal Medicine (Pulmonary Disease)
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 437-4577
THOMAS PRESTON KENNEDY MD
Internal Medicine (Pulmonary Disease)
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 580-4577
SIMON S WAGHCHOURE MD
Internal Medicine (Pulmonary Disease)
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 580-4577

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 Michael Clemens's NPI number?

The NPI number for Michael Clemens is 1871852095. It was assigned to this individual provider in the NPPES registry on May 8, 2012.

Where is Michael Clemens located?

Michael Clemens practices at 2209 S Sterling St Ste 600, Morganton, NC 28655. The listed phone number is (828) 580-2250.

What is Michael Clemens's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Clemens enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Clemens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Clemens reassigns Medicare benefits to 7 organizations: Blue Ridge Healthcare Medical Group, Inc. (Morganton, NC), Carolinas Physicians Network Inc (Morganton, NC), Atrium Health Childrens Specialty Network Inc (Hickory, NC), The Charlotte-Mecklenburg Hospital Authority (Shelby, NC), Carolinas Medical Center (Davidson, NC) and 2 more organizations, listed in the Medicare section above. 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 Michael Clemens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Clemens accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Michael 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.

Is Michael Clemens affiliated with any hospitals?

According to CMS data, Michael Clemens is affiliated with Carolinas Medical Center/Behav Health, Atrium Health Lincoln and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Michael Clemens was last updated on January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.