Justin A. Clem, M.D.
NPI 1083050827ActiveIndividual· Family Medicine· Madison, SD
Family Medicine (M.D.) with Madison Community Hospital, practicing in Madison, South Dakota. Their prescriptions cost Medicare Part D more than their services did: $603,347 for 9,945 claims, against $41,622 paid for services in 2024. Medtronic, Inc. reported $16.55 in payments in 2025, mostly food and beverage. Lists Avera McKennan Hospital & University Health Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1083050827 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 20, 2013 |
| Last updated in NPPES | Nov 8, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 9998 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 132 |
|---|---|
| Services billed | 629 across 35 procedure codes |
| Paid by Medicare | $41,622 |
Part D prescriptions in 2024
| Prescriptions (claims) | 9,945 · 16,106 30-day fills |
|---|---|
| Patients | 465 |
| Total drug cost | $603,347 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Madison Community HospitalMadison, SD · 47 clinicians
Hospital affiliations
- Avera McKennan Hospital & University Health CenterSioux Falls, SD
- Madison Regional Health SystemMadison, SD
- Sanford Usd Medical CenterSioux Falls, SD
Other facilities
- Avera @ HomeHome health agency · Sioux Falls, SD
- Avera @ HomeHospice · Sioux Falls, SD
- Bethel Lutheran HomeNursing home · Madison, SD
Industry payments (Open Payments)
- 2025$16.55 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $16.55 | 1 |
What the 2025 payments were for
- Food and Beverage$16.55 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in Madison
- 1346216843
- 1477749539
- 1710964531
- 1881125763
- 1538227541
- 1750624177
- 1891772521
- 1245972314
- 1326301128
- 1760070841