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Jacob N. Clendenon, MD

NPI 1093959231ActiveIndividual· Transplant Surgery· Jacksonville, FL

Transplant Surgery (MD) in Jacksonville, Florida, trained at University of Utah School of Medicine (class of 2003). Medicare paid $60,942 for services to 29 patients in 2024.

Overview

NPI1093959231
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedApr 30, 2009
Last updated in NPPESFeb 17, 2021
Certified by providerFeb 17, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Transplant Surgery Primary204F00000X56155-20WI
Transplant Surgery204F00000XME145251FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - General Surgery (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients29
Services billed80 across 13 procedure codes
Paid by Medicare$60,942

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Utah School of Medicine
Graduation year2003
Medicare specialtyGeneral Surgery
TelehealthOffers telehealth

Medical group

Hospital affiliation

Source: CMS Care Compare

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