DR. BARRY S CLEMSON MD
NPI 1942234323
Internal Medicine - Cardiovascular Disease in Peoria, IL

Active since July 10, 2006PECOS Enrolled
5405 N KNOXVILLE AVE, PEORIA, IL 61614(309) 691-4410(309) 692-4730 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Barry S Clemson Md NPPES

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

DR. BARRY S CLEMSON MD (NPI 1942234323) is an individual cardiovascular disease provider in Peoria, Illinois, licensed in Illinois (036086030) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942234323
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. BARRY S CLEMSONCredential: MD
Location Address5405 N KNOXVILLE AVEPeoria, IL 61614-5016
Mailing Address5405 N Knoxville AvePeoria, IL 61614-5016 · (309) 691-4410 · Fax (309) 692-4730
Fax(309) 692-4730
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
NPI 1942234323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036086030
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036086030 (IL)
5405 N KNOXVILLE AVE, Peoria, IL 61614

Other Identifiers 1

Medicaid036086030IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Barry S Clemson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 61614 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

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$41.72 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 suppliers24 claims24 services$87.26 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.26 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers22 claims3,360 services$0.56 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers20 claims20 services$18.05 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers22 claims30 services$12.63 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 20

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

Internal Medicine (Cardiovascular Disease)
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Physician Assistant
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Internal Medicine (Cardiovascular Disease)
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Nurse Practitioner (Acute Care)
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Nurse Practitioner (Family)
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Internal Medicine (Cardiovascular Disease)
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Internal Medicine (Cardiovascular Disease)
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Family Medicine
5405 N KNOXVILLE AVE
PEORIA, IL 61614

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 Barry Clemson's NPI number?

The NPI number for Barry Clemson is 1942234323. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Barry Clemson located?

Barry Clemson practices at 5405 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 691-4410.

What is Barry Clemson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Barry Clemson enrolled in Medicare?

Yes. Barry Clemson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Barry Clemson was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.