Active NPI 1053405654 Individual Practitioner Male Practitioner

Dr. Roderick John Clemente , MD

Neurological Surgery • Montclair, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Roderick Clemente, MD is a registered healthcare professional specializing in Neurological Surgery in Montclair, NJ. Practice services are available at 96 GATES AVENUE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

96 Gates Avenue

Montclair, NJ 07042

Telephone 9737443166

Fax 9737443199

Associated Practice Facility / Clinic

🏢 Specialists Of The Spine, Llc Facility NPI 1013245489

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Montclair, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.3 Yrs

State Avg: 25.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Montclair, NJ (200 Statewide)

Telehealth Adoption Rate

60.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.6% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	18	$220.00	$142.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$600.00	$245.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$600.00	$248.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	16	$220.00	$146.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$350.00	$203.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$231.30	$121.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$600.00	$231.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$716.00	$222.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$600.00	$225.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	18	$220.00	$119.89
99291 Critical care, first 30-74 minutes	12	11	$1552.00	$237.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$700.08	$217.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	42	$716.00	$205.99
99356 Prolonged inpatient or observation hospital service, first hour	35	30	$829.00	$94.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$247.40	$112.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$605.62	$213.54
99358 Prolonged patient service without direct patient contact first hour	23	21	$608.00	$113.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$363.81	$150.99
51702 Simple insertion of temporary bladder tube	11	11	$615.82	$15.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	44	43	$643.61	$211.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	31	$297.37	$110.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	32	$686.54	$204.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	12	$396.74	$105.08
99213 Established patient office or other outpatient visit, typically 15 minutes	15	11	$227.80	$72.69

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License NJ 25MA04150100

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tax Id#

582676791 (NJ)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Seth Dannis , MD

Neurological Surgery

NPI 1710184064

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 23, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 23, 2010

Registered at 96 GATES AVENUE, MONTCLAIR, NJ 07042 (Tel: 9737443166)

📍

Updated Business Mailing Address June 23, 2010

Registered at 96 GATES AVE, MONTCLAIR, NJ 070422501 (Tel: 9737443166)

👤

Provider Name / Credentials Updated June 23, 2010

Recorded as RODERICK CLEMENTE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2010

Neurological Surgery (License #25MA04150100 in NJ)

🟢

Initial NPI Registration & Enumeration October 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053405654

Entity Type:

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

Enumeration Date: October 03, 2006

Last Update: June 23, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

96 Gates Ave

Montclair, NJ 070422501

Phone: 9737443166

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.