Julie Elizabeth Howell-Clemmer , APRN
General Practice • Milton, FL
4364 Cardinal Street
Milton, FL 32571
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Julie Howell-Clemmer is listed in NPPES under General Practice.
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NPI assigned on November 3, 2022; this date does not establish years in practice.
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Published CMS data list 1,310 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99454 — Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days: 383 service units.
- 99214 — Established patient outpatient office visit: 289 service units.
- 99457 — Management using the results of remote vital sign monitoring per calendar month: 164 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 12 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 4,978 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 265 prescription fills, including refills.
- Levothyroxine Sodium — 264 prescription fills, including refills.
- Losartan Potassium — 184 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 112 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 85% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 385 in 2023 to 1,310 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023–2024.
Practice Location & Contact Primary Location
4364 Cardinal Street
Milton, FL 32571
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Santa Rosa Hma Physician Management, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2022
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
221 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $95,659 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $68,369 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
10,961 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$361,182 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $348.98 across 18 records.
By nature of payment
- Food and Beverage: $348.98 across 18 records.
Reporting-company totals (3 largest of 9)
- Novo Nordisk Inc: $87.53 across 5 records.
- ABBVIE INC.: $65.97 across 3 records.
- Organogenesis Inc.: $49.25 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
4 years (graduated 2022)
CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2022
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Julie Howell-Clemmer has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Julie Howell-Clemmer as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Milton and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.
Too few clinicians listed under General Practice in Milton have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $12,422. Middle half: $5,563 to $41,228.
Too few clinicians listed under General Practice in Milton have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $9,105. Middle half: $3,803 to $30,969.
Too few clinicians listed under General Practice in Milton have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 60% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: 2,849. Middle half: 518 to 6,924.
Too few clinicians listed under General Practice in Milton have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 65% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: $166,180. Middle half: $16,824 to $452,832.
Too few clinicians listed under General Practice in Milton have Medicare Part D data for 2024 to compare.
1 active clinicians are listed under General Practice with a practice address in Milton, FL (2,293 in Florida).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 240% from 385 in 2023 to 1,310 in 2024.
- 2023: 385
- 2024: 1,310
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Medicare-allowed amount
Medicare-allowed amount increased 160% from $36,745 in 2023 to $95,659 in 2024.
- 2023: $36,745
- 2024: $95,659
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Paid by Medicare
Paid by Medicare increased 146% from $27,759 in 2023 to $68,369 in 2024.
- 2023: $27,759
- 2024: $68,369
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 325% from 1,172 in 2023 to 4,978 in 2024.
- 2023: 1,172
- 2024: 4,978
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30-day fills
30-day fills increased 399% from 2,195 in 2023 to 10,961 in 2024.
- 2023: 2,195
- 2024: 10,961
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Part D drug cost
Part D drug cost increased 605% from $51,254 in 2023 to $361,182 in 2024.
- 2023: $51,254
- 2024: $361,182
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $211.76 in 2023 to $348.98 in 2025.
- 2023: $211.76
- 2024: $506.80
- 2025: $348.98
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 18 records totaling $348.98.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $32.27 |
| Organogenesis Inc. |
Food and Beverage
In-kind items and services
|
PURAPLY WOUND MATRIX | General | $25.89 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
Symbravo | General | $25.10 |
| Organogenesis Inc. |
Food and Beverage
In-kind items and services
|
PURAPLY WOUND MATRIX | General | $23.36 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Wegovy | General | $22.06 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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CAPVAXIVE | General | $21.70 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
PREVNAR 20 | General | $18.33 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $18.28 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
AIRSUPRA | General | $17.61 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $17.39 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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ZEPBOUND | General | $16.49 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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PREVNAR 20 | General | $16.35 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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VRAYLAR | General | $16.31 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $16.27 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Wegovy | General | $15.88 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
REXULTI | General | $15.75 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Wegovy | General | $15.04 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
REXULTI | General | $14.90 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2023–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99454
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
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383 | 56 | $131.00 | $37.24 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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289 | 164 | $297.56 | $104.24 |
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99457
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
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164 | 50 | $132.00 | $40.00 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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151 | 101 | $403.00 | $148.02 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
96 | 71 | $202.00 | $74.32 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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83 | 83 | $321.00 | $104.26 |
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99458
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes
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43 | 17 | $108.00 | $32.45 |
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99453
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
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36 | 36 | $51.00 | $15.92 |
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G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
20 | 20 | $476.00 | $136.25 |
|
83036
Hemoglobin a1c level
|
18 | 15 | $57.00 | $9.52 |
|
81003
Automated urinalysis test
|
15 | 15 | $23.00 | $2.20 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
12 | 12 | $460.00 | $139.44 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 265 | 21,159 | $1,935.75 | 93 |
| Levothyroxine Sodium | Levothyroxine Sodium | 264 | 19,482 | $2,375.07 | 69 |
| Losartan Potassium | Losartan Potassium | 184 | 14,457 | $1,259.54 | 58 |
| Lisinopril | Lisinopril | 180 | 14,167 | $983.60 | 57 |
| Amlodipine Besylate | Amlodipine Besylate | 172 | 13,599 | $635.19 | 61 |
| Omeprazole | Omeprazole | 143 | 11,079 | $2,506.30 | 49 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 136 | 10,670 | $1,521.72 | 46 |
| Metformin Hcl | Metformin Hcl | 134 | 11,434 | $697.58 | 47 |
| Gabapentin | Gabapentin | 125 | 7,560 | $2,214.51 | 40 |
| Metoprolol Succinate | Metoprolol Succinate | 118 | 8,620 | $1,292.11 | 39 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 103 | 3,312 | $3,191.03 | 40 |
| Furosemide | Furosemide | 97 | 5,025 | $279.74 | 30 |
| Pantoprazole Sodium | Pantoprazole Sodium | 92 | 8,190 | $1,213.96 | 39 |
| Hydrochlorothiazide | Hydrochlorothiazide | 90 | 6,950 | $335.85 | 28 |
| Meloxicam | Meloxicam | 85 | 5,090 | $332.39 | 21 |
| Trazodone Hcl | Trazodone Hcl | 81 | 5,131 | $500.32 | 22 |
| Potassium Chloride | Potassium Chloride | 76 | 3,404 | $624.72 | 29 |
| Ozempic | Semaglutide | 72 | 2,951 | $94,567.73 | 15 |
| Buspirone Hcl | Buspirone Hcl | 66 | 2,915 | $625.27 | 17 |
| Montelukast Sodium | Montelukast Sodium | 62 | 4,415 | $284.58 | 22 |
| Eliquis | Apixaban | 59 | 3,160 | $57,971.30 | 11 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 57 | 1,978 | $738.74 | 16 |
| Duloxetine Hcl | Duloxetine Hcl | 55 | 4,407 | $1,359.65 | 22 |
| Ezetimibe | Ezetimibe | 55 | 4,490 | $1,030.43 | 18 |
| Alendronate Sodium | Alendronate Sodium | 52 | 2,466 | $428.25 | 13 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-11-01NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20230414000030
FL
1759756299
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Santa Rosa Hma Physician Management, Llc
4225 Woodbine Rd, Milton, FL 325718791
Phone: 8509834497
Santa Rosa Hma Physician Management, Llc
4225 Woodbine Rd, Pace, FL 325718791
Phone: 8509946575
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Nurse Practitioner - Acute Care
Master of Science in Nursing, ACNPBC, FCCS
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)
Career & Practice History
NPI enumerated November 03, 2022.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from November 2022 to August 2026.
NPI Administrative Meta
Mailing Address
6044 Antelope St
Milton, FL 325708000
Phone: 8504204289