Deactivated NPI 1205836350 Deactivated / Inactive NPI Female Practitioner

Dr. Martha D Clements , MD

General Practice • Pine Mountain, GA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Martha Clements has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 29, 2005

NPI Deactivation Date September 28, 2021

Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Martha Clements, MD was a registered General Practice practicing in Pine Mountain, GA. Throughout an active medical career spanning 16 years, Dr. Clements provided care at the practice location at 211 E BROAD ST until profile deactivation on 2021-09-28.

Historical Medicare Part B clinical services included established patient outpatient office visit, insertion of needle into vein for collection of blood sample, urinalysis, manual test. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

211 E Broad St

Pine Mountain, GA 318220516

Telephone 7066632574

Fax 7066635954

Associated Practice Facility / Clinic

🏢 Clements Professional Association Pine Mountain Facility NPI 1801083134

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Pine Mountain, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Pine Mountain, GA (369 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	504	229	$147.00	$71.43
36415 Insertion of needle into vein for collection of blood sample	263	162	$13.00	$2.98
81002 Urinalysis, manual test	203	131	$9.00	$3.42
G0008 Administration of influenza virus vaccine	60	58	$52.00	$16.90
81003 Automated urinalysis test	58	55	$10.00	$2.25
90662 Influenza vaccine split virus, preservative free	54	52	$63.15	$59.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	41	$215.00	$104.94
83036 Hemoglobin A1C level	37	20	$27.00	$9.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	14	$52.00	$13.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$250.00	$112.38
G0009 Administration of pneumococcal vaccine	20	20	$52.00	$16.70
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$145.00	$114.97
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$54.00	$16.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	761	297	$147.00	$70.33
36415 Insertion of needle into vein for collection of blood sample	365	201	$13.00	$2.94
81002 Urinalysis, manual test	329	171	$9.00	$3.35
J1100 Injection, dexamethasone sodium phosphate, 1 mg	200	29	$3.00	$0.11
G0008 Administration of influenza virus vaccine	66	66	$51.94	$15.59
90662 Influenza vaccine split virus, preservative free	62	62	$45.00	$44.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	32	$52.00	$15.61
83036 Hemoglobin A1C level	51	32	$27.00	$10.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	44	$215.00	$104.54
J0696 Injection, ceftriaxone sodium, per 250 mg	42	11	$24.00	$0.61
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	32	32	$375.00	$164.73
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	13	$33.00	$15.44
93000 Routine ekg using at least 12 leads including interpretation and report	29	27	$54.00	$16.18
G0009 Administration of pneumococcal vaccine	18	18	$52.00	$15.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	839	327	$147.00	$67.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg	464	47	$3.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	427	223	$13.00	$2.93
J0696 Injection, ceftriaxone sodium, per 250 mg	142	23	$24.00	$0.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	137	56	$52.00	$18.61
85610 Blood test, clotting time	116	14	$14.00	$4.75
81002 Urinalysis, manual test	114	98	$9.10	$3.37
G0008 Administration of influenza virus vaccine	103	103	$52.00	$19.06
90662 Influenza vaccine split virus, preservative free	98	98	$45.00	$43.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	71	$215.00	$100.13
83036 Hemoglobin A1C level	61	35	$27.00	$11.62
93000 Routine ekg using at least 12 leads including interpretation and report	55	51	$54.00	$15.64
87804 Detection test by immunoassay with direct visual observation for influenza virus	34	17	$33.00	$15.27
G0009 Administration of pneumococcal vaccine	17	16	$52.00	$19.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,087	429	$140.95	$66.54
36415 Insertion of needle into vein for collection of blood sample	482	266	$11.40	$2.93
J1100 Injection, dexamethasone sodium phosphate, 1 mg	350	79	$5.07	$0.12
81000 Manual urinalysis test with examination using microscope, non-automated	342	244	$14.00	$4.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	242	100	$37.73	$22.58
85610 Blood test, clotting time	130	17	$13.60	$5.28
J0696 Injection, ceftriaxone sodium, per 250 mg	128	33	$19.73	$0.67
G0008 Administration of influenza virus vaccine	104	98	$52.57	$23.40
90662 Influenza vaccine split virus, preservative free	89	89	$45.00	$43.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	71	$211.49	$98.61
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	43	24	$15.53	$3.22
87804 Detection test by immunoassay with direct visual observation for influenza virus	42	20	$37.52	$16.11
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$47.58	$15.33
82962 Blood glucose (sugar) test performed by hand-held instrument	22	15	$23.82	$3.15
G0009 Administration of pneumococcal vaccine	20	19	$56.86	$23.40
J0698 Injection, cefotaxime sodium, per gm	16	15	$65.00	$1.52
83036 Hemoglobin A1C level	16	15	$27.00	$13.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$86.33	$39.48
81002 Urinalysis, manual test	14	13	$10.00	$3.43
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$30.00	$18.65
90670 Pneumococcal vaccine for injection into muscle	12	12	$288.67	$183.12

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License GA 11303

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Mack Clements , MD

Family Medicine

NPI 1255331351

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

⚠️

NPI Profile Deactivated September 28, 2021

Record deactivated on September 28, 2021

✅

NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 10, 2017

Registered at 211 E BROAD ST, PINE MOUNTAIN, GA 318227700 (Tel: 7068453494)

📍

Updated Business Mailing Address February 10, 2017

Registered at PO BOX 516, PINE MOUNTAIN, GA 318220516 (Tel: 7066632574)

👤

Provider Name / Credentials Updated February 10, 2017

Recorded as MARTHA CLEMENTS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

General Practice (License #11303 in GA)

✅

NPI Profile Active November 27, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 27, 2007

Registered at 211 E BROAD ST, PINE MOUNTAIN, GA 318220516 (Tel: 7066632574)

📍

Updated Business Mailing Address November 27, 2007

Registered at PO BOX 516, PINE MOUNTAIN, GA 318220516 (Tel: 7066632574)

👤

Provider Name / Credentials Updated November 27, 2007

Recorded as MARTHA CLEMENTS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2007

General Practice (License #11303 in GA)

🟢

Initial NPI Registration & Enumeration July 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1205836350

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 29, 2005

Last Update: November 27, 2007

Deactivation Date: September 28, 2021

Update or Correct Profile

Mailing Address

Po Box 516

Pine Mountain, GA 318220516

Phone: 7066632574

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.