Blair Wetmore Clementson, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

29902 Issued in SC

Practice address

2020 N Church Street PL
Spartanburg, SC 29303-2706

Phone

(864) 582-3447

Fax

(864) 582-3449

NPI assigned

Jul 13, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of South Carolina School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spartanburg Dermatology and Skin Surgery Clinic, PCGroup PAC ID 7810987856, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.6 of 100Reported as group

Quality

95.1

Improvement activities

40

Cost

81.87

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: blair.clementson@direct.spartanburgderm.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spartanburg Dermatology & Skin Surgery Clinic, PC

  • Dermatology Physician
  • Spartanburg, SC
  • NPI 1497709067
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1326247909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N CHURCH STREET PL",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032706",
            "telephone_number": "864-582-3447",
            "fax_number": "864-582-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N CHURCH STREET PL",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032706",
            "telephone_number": "864-582-3447",
            "fax_number": "864-582-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTSON",
        "first_name": "BLAIR",
        "middle_name": "WETMORE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "29902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CLC Administrative Services, Inc.
• Adreon Alexis Clea
• Hailey Cleary
• Jack Wilson Cleland, M.D.
• Madison Clements, DO
• Brittney Lynn Clemmer, NP
• Jane T Clemmer, LMSW
• Kancy Cleveland, LPC
• Jordan Marie Clevenger
• Amy Southern Clinton, NP

• Dermatology Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.