NPI Details
DR. Mark A. Clemence, M.D. is an internal medicine in Hales Corners, WI with 40 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Mark A. Clemence, M.D. NPI is 1255324216. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6080 S 108TH ST
HALES CORNERS, WI
ZIP 53130-557
Phone: (414) 425-5351
Fax: (414) 529-6350
The NPI 1255324216 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
- Fee covid-19 vac 13 res (HCPCS:0124A)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Coronavirus vaccine 13 (HCPCS:91312)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Sarscov2 vac 30 mcg trs-sucr (HCPCS:91305)
- Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
- Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- Pneumococcal vaccine, 23-valent (HCPCS:90732)
The enumeration date for this NPI number is 8/25/2005 and was last updated on 11/17/2008.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207RI0200X | Internal Medicine | Infectious Disease | 34043 | WISCONSIN | No |
| 2 | 207R00000X | Internal Medicine | | 34043 | WISCONSIN | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 045668480 | OTHER | WISCONSIN | MEDICARE PTAN |
| 2 | 32081200 | MEDICAID | WISCONSIN | |
| 3 | 049873840 | OTHER | WISCONSIN | MEDICARE PTAN |
| 4 | 002302475 | MEDICARE ID-TYPE UNSPECIFIED | WISCONSIN | |
| 5 | E70717 | MEDICARE UPIN | WISCONSIN | |
