Active NPI 1477798049 Individual Practitioner Male Practitioner

Dr. Adam J Clemens , MD

Urology • Newark, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Adam Clemens, MD is a certified Urology practicing in Newark, OH. With approximately 18 years of clinical experience since graduating from Medical College Of Ohio in 2008, Dr. Clemens delivers high-quality medical care to the local community at 1980 TAMARACK RD.

Dr. Clemens is affiliated with Licking Memorial Health Professionals and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1980 Tamarack Rd

Newark, OH 430551363

Telephone 2205647520

Fax 2205647521

Associated Practice Facility / Clinic

🏢 Docoh1, Llc Facility NPI 1578935367

Medicare Profile & Education

Medical School

Medical College Of Ohio

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Newark, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -6.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Newark, OH (564 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clemens (18 Years) 18 Yrs

Newark Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

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	181	115	$285.56	$120.11
81003 Automated urinalysis test	177	116	$5.06	$2.19
52000 Diagnostic exam of bladder and urethra using an endoscope	62	59	$518.50	$214.66
51798 Ultrasound measurement of bladder capacity after voiding	50	37	$24.03	$10.19
74420 Imaging of urinary tract	47	36	$54.45	$22.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	28	$402.90	$164.62
76872 Ultrasound scan of pelvic region through rectum	37	35	$410.99	$119.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$373.55	$158.50
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	30	29	$697.05	$279.65
52356 Crushing of stone of ureter with insertion of stent using an endoscope	29	25	$1005.77	$403.11
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$202.07	$85.70
76872 Ultrasound scan of pelvic region through rectum	16	16	$72.53	$29.50
55700 Biopsy of prostate gland	16	16	$291.87	$117.55
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	12	$360.96	$100.22
51700 Simple bladder irrigation and/or instillation	12	12	$166.81	$67.79

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	238	180	$101.29	$94.94
52000 Diagnostic exam of bladder and urethra using an endoscope	179	167	$159.00	$78.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$235.00	$129.98
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	97	20	$105.00	$49.06
74420 Imaging of urinary tract	94	55	$41.52	$23.75
99213 Established patient office or other outpatient visit, typically 15 minutes	93	87	$94.00	$64.31
76872 Ultrasound scan of pelvic region through rectum	86	80	$101.00	$31.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	28	$170.00	$139.30
52005 Insertion of tube into ureter using an endoscope through bladder area	32	30	$774.06	$53.88
51700 Simple bladder irrigation and/or instillation	23	18	$233.77	$29.51
52356 Crushing of stone of ureter with insertion of stent using an endoscope	22	19	$1587.09	$423.17
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	21	$718.50	$146.15
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	20	20	$219.50	$104.15
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	20	20	$416.00	$183.11
52281 Dilation of bladder canal (urethra) using an endoscope	18	17	$815.77	$146.53
55700 Biopsy of prostate gland	18	18	$623.71	$126.12
51797 Insertion of device into abdomen with pressure and urine flow rate study	18	18	$83.00	$38.70
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	17	16	$1505.56	$706.05
51741 Electronic assessment of bladder emptying	16	16	$17.50	$4.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$117.00	$80.90
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	15	15	$78.00	$18.03

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	287	210	$101.93	$96.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	217	217	$235.00	$133.60
52000 Diagnostic exam of bladder and urethra using an endoscope	216	200	$159.00	$79.47
99213 Established patient office or other outpatient visit, typically 15 minutes	160	141	$94.00	$65.95
74420 Imaging of urinary tract	144	86	$39.75	$24.05
76872 Ultrasound scan of pelvic region through rectum	122	114	$101.00	$32.16
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	55	13	$105.00	$49.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	33	$170.00	$143.52
52005 Insertion of tube into ureter using an endoscope through bladder area	43	43	$774.06	$54.57
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	43	43	$219.50	$101.74
51797 Insertion of device into abdomen with pressure and urine flow rate study	41	41	$83.00	$40.49
51741 Electronic assessment of bladder emptying	39	39	$17.50	$4.25
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	33	33	$718.50	$148.76
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	33	33	$78.00	$18.94
52356 Crushing of stone of ureter with insertion of stent using an endoscope	32	28	$1519.78	$415.72
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	29	29	$1448.84	$719.45
55700 Biopsy of prostate gland	26	26	$623.71	$128.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$117.00	$82.65
52281 Dilation of bladder canal (urethra) using an endoscope	18	15	$815.77	$149.24
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	15	$1775.61	$121.50
51700 Simple bladder irrigation and/or instillation	16	15	$233.77	$30.71
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	13	13	$416.00	$186.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
52000 Diagnostic exam of bladder and urethra using an endoscope	199	193	$161.33	$80.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	158	$105.65	$99.03
74420 Imaging of urinary tract	156	110	$38.54	$24.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	112	$233.27	$127.26
99213 Established patient office or other outpatient visit, typically 15 minutes	143	128	$82.42	$67.05
76872 Ultrasound scan of pelvic region through rectum	125	117	$106.25	$32.68
99213 Established patient office or other outpatient visit, typically 15 minutes	105	91	$190.14	$89.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$200.38	$135.56
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	102	26	$115.98	$51.67
52000 Diagnostic exam of bladder and urethra using an endoscope	95	93	$623.00	$223.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$359.84	$162.21
81003 Automated urinalysis test	67	62	$17.02	$2.19
52005 Insertion of tube into ureter using an endoscope through bladder area	53	53	$817.87	$57.16
52356 Crushing of stone of ureter with insertion of stent using an endoscope	52	41	$1462.83	$426.77
51741 Electronic assessment of bladder emptying	40	40	$17.50	$4.45
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	37	37	$241.68	$96.98
51797 Insertion of device into abdomen with pressure and urine flow rate study	35	35	$94.33	$39.36
76872 Ultrasound scan of pelvic region through rectum	34	32	$265.00	$115.08
51798 Ultrasound measurement of bladder capacity after voiding	32	32	$50.44	$9.49
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	31	31	$1932.21	$730.25
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	28	28	$78.00	$18.64
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	27	25	$718.50	$151.04
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	26	26	$436.00	$192.66
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	21	$1627.39	$101.47
55700 Biopsy of prostate gland	24	24	$623.71	$130.55
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	22	22	$718.50	$305.25
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	21	21	$1040.00	$313.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	13	$303.82	$178.17
51797 Insertion of device into abdomen with pressure and urine flow rate study	19	19	$479.50	$164.98
51741 Electronic assessment of bladder emptying	18	18	$42.50	$6.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	14	$158.35	$145.79
51700 Simple bladder irrigation and/or instillation	15	14	$389.77	$76.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$104.00	$83.34
51700 Simple bladder irrigation and/or instillation	14	13	$233.77	$31.25

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	345	250	$108.08	$79.24
99213 Established patient office or other outpatient visit, typically 15 minutes	338	249	$70.00	$51.72
52000 Diagnostic exam of bladder and urethra using an endoscope	293	261	$248.01	$83.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	239	239	$175.00	$130.06
76872 Ultrasound scan of pelvic region through rectum	146	137	$101.00	$33.88
74420 Imaging of urinary tract	132	107	$38.73	$25.34
51797 Insertion of device into abdomen with pressure and urine flow rate study	55	55	$83.00	$50.60
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	55	53	$718.50	$155.20
52356 Crushing of stone of ureter with insertion of stent using an endoscope	51	37	$1354.58	$429.65
51700 Simple bladder irrigation and/or instillation	51	44	$233.77	$31.92
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	51	51	$401.88	$121.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$102.00	$76.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	33	$152.00	$112.42
52005 Insertion of tube into ureter using an endoscope through bladder area	48	48	$806.31	$69.11
51741 Electronic assessment of bladder emptying	47	47	$63.84	$4.48
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	42	42	$229.05	$22.56
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	37	37	$2533.50	$730.41
52332 Insertion of stent in urinary duct (ureter) using an endoscope	32	29	$1517.47	$92.52
55700 Biopsy of prostate gland	28	27	$623.71	$134.92
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	19	18	$598.00	$229.73
52281 Dilation of bladder canal (urethra) using an endoscope	16	16	$815.77	$156.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	12	$599.00	$202.69

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	275	197	$108.55	$77.69
99213 Established patient office or other outpatient visit, typically 15 minutes	261	201	$70.80	$50.44
52000 Diagnostic exam of bladder and urethra using an endoscope	252	231	$548.32	$82.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	153	153	$176.37	$127.71
74420 Imaging of urinary tract	80	67	$40.88	$25.63
76872 Ultrasound scan of pelvic region through rectum	68	66	$101.00	$58.08
81003 Automated urinalysis test	64	52	$45.00	$2.44
99213 Established patient office or other outpatient visit, typically 15 minutes	50	45	$197.58	$69.48
51798 Ultrasound measurement of bladder capacity after voiding	48	43	$45.00	$11.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	28	$152.00	$109.76
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	34	33	$750.92	$153.52
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	32	32	$504.77	$26.58
51700 Simple bladder irrigation and/or instillation	31	27	$236.59	$30.61
51741 Electronic assessment of bladder emptying	31	31	$152.01	$4.36
51797 Insertion of device into abdomen with pressure and urine flow rate study	31	31	$83.02	$65.18
52005 Insertion of tube into ureter using an endoscope through bladder area	30	29	$1264.30	$81.60
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	29	29	$2633.48	$734.52
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	27	27	$882.00	$218.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$570.27	$199.71
52356 Crushing of stone of ureter with insertion of stent using an endoscope	25	21	$1429.47	$440.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$34.50	$25.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$248.71	$101.80
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	22	$1404.04	$81.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$102.00	$73.50
51741 Electronic assessment of bladder emptying	16	14	$61.90	$8.12
52281 Dilation of bladder canal (urethra) using an endoscope	15	15	$774.80	$153.97
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	14	13	$598.00	$208.37
55700 Biopsy of prostate gland	13	13	$613.04	$132.25
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$571.12	$145.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	622	252	$44.64	$2.64
51798 Ultrasound measurement of bladder capacity after voiding	481	233	$45.00	$13.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	311	179	$249.83	$96.46
99213 Established patient office or other outpatient visit, typically 15 minutes	301	195	$198.60	$65.38
99213 Established patient office or other outpatient visit, typically 15 minutes	219	141	$78.66	$48.76
51741 Electronic assessment of bladder emptying	118	79	$104.10	$7.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	77	$119.56	$74.61
52000 Diagnostic exam of bladder and urethra using an endoscope	103	91	$453.68	$147.16
76775 Limited ultrasound scan behind abdominal cavity	79	66	$250.00	$52.27
51741 Electronic assessment of bladder emptying	72	65	$129.12	$4.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$275.70	$150.03
52000 Diagnostic exam of bladder and urethra using an endoscope	68	62	$156.75	$79.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$197.77	$123.02
74420 Imaging of urinary tract	45	39	$48.63	$16.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	26	$137.47	$67.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	34	$324.42	$187.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	25	$375.00	$132.09
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	28	28	$223.07	$30.04
51797 Insertion of device into abdomen with pressure and urine flow rate study	27	27	$293.63	$94.37
76872 Ultrasound scan of pelvic region through rectum	26	26	$300.00	$85.03
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	21	21	$315.42	$21.93
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	17	$1581.42	$125.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	12	$169.20	$105.42
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	19	19	$358.64	$129.34
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	19	19	$2685.69	$674.35
51797 Insertion of device into abdomen with pressure and urine flow rate study	19	19	$218.83	$41.23
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	18	18	$503.00	$259.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$127.80	$73.08
55700 Biopsy of prostate gland	17	17	$485.00	$226.66
51700 Simple bladder irrigation and/or instillation	16	12	$194.81	$65.90
52005 Insertion of tube into ureter using an endoscope through bladder area	12	12	$368.92	$73.85
51700 Simple bladder irrigation and/or instillation	12	12	$74.07	$29.62
50590 Shock wave crushing of kidney stones	12	11	$2154.53	$567.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	514	206	$44.21	$2.95
51798 Ultrasound measurement of bladder capacity after voiding	417	191	$43.99	$17.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	172	$249.14	$98.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	228	130	$54.00	$24.13
99213 Established patient office or other outpatient visit, typically 15 minutes	205	154	$199.32	$67.66
99213 Established patient office or other outpatient visit, typically 15 minutes	152	108	$78.00	$48.24
51741 Electronic assessment of bladder emptying	106	90	$217.00	$4.38
52000 Diagnostic exam of bladder and urethra using an endoscope	103	96	$457.36	$148.37
51741 Electronic assessment of bladder emptying	102	80	$88.07	$7.46
52000 Diagnostic exam of bladder and urethra using an endoscope	99	92	$174.81	$96.14
82570 Creatinine level to test for kidney function or muscle injury	70	48	$45.00	$6.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$275.75	$149.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$196.97	$122.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	23	$109.16	$68.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	37	$124.33	$74.43
76775 Limited ultrasound scan behind abdominal cavity	39	31	$250.00	$54.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	29	$364.86	$131.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	32	$308.59	$191.83
74420 Imaging of urinary tract	33	28	$48.46	$16.40
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	24	24	$497.71	$19.64
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	22	22	$373.00	$122.42
51797 Insertion of device into abdomen with pressure and urine flow rate study	22	22	$364.00	$38.92
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	21	21	$541.57	$298.77
51797 Insertion of device into abdomen with pressure and urine flow rate study	21	21	$303.05	$98.10
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	21	21	$309.43	$31.04
86386 Protein test for diagnosis and monitoring of bladder cancer	15	15	$60.00	$21.47
55700 Biopsy of prostate gland	15	15	$485.00	$230.20
51700 Simple bladder irrigation and/or instillation	13	13	$61.00	$34.55
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	13	$1991.73	$88.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$127.80	$72.75

Medical Specialties & State Licenses

CMS Verified: 2025-09-16

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35-122927

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0099799 (OH)

Hospital & Practice Group Affiliations

Licking Memorial Health Professionals

1980 Tamarack Rd, Newark, OH 430551363

Phone: 2205647520

Secondary Practice Locations

629 N Sandusky Ave

Bucyrus, OH 448201821

Phone: 4194680732

715 Richland Mall

Ontario, OH 449063802

Phone: 4194680732

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Derrick Reedus , MD

Urology

NPI 1194929463

Doctor of Medicine (M.D.)

Dr. Roy Brown , MD

Urology

NPI 1417990565

Doctor of Medicine (M.D.)

Katie Graham , APRN-CNP

Nurse Practitioner

NPI 1982009288

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location September 16, 2025

Registered at 1980 TAMARACK RD, NEWARK, OH 430551363 (Tel: 2205647520)

📍

Updated Business Mailing Address September 16, 2025

Registered at 1980 TAMARACK RD, NEWARK, OH 430551363 (Tel: 2205647520)

📍

Updated Practice Location December 28, 2020

Registered at 629 N SANDUSKY AVE, BUCYRUS, OH 448201821 (Tel: 4194680732)

📍

Updated Business Mailing Address December 28, 2020

Registered at 700 N COLUMBUS ST STE 220, CRESTLINE, OH 448271455 (Tel: 4194680522)

✅

NPI Profile Active June 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2016

Registered at 477 COOPER RD, SUITE 220, WESTERVILLE, OH 430818054 (Tel: 6148180215)

📍

Updated Business Mailing Address June 15, 2016

Registered at 477 COOPER RD, SUITE 220, WESTERVILLE, OH 430818054 (Tel: 6148180215)

👤

Provider Name / Credentials Updated June 15, 2016

Recorded as ADAM CLEMENS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2016

Urology (License #35-122927 in OH)

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Initial NPI Registration & Enumeration December 10, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477798049

Entity Type:

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

Enumeration Date: December 10, 2008

Last Update: September 16, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1980 Tamarack Rd

Newark, OH 430551363

Phone: 2205647520

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

⚠️ Medical Disclaimer

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