Gail Clemson , ARNP
Nurse Practitioner • Zephyrhills, FL
38135 Market Sq
Zephyrhills, FL 335427505
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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NPI assigned on April 9, 2015; this date does not establish years in practice.
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Published CMS data list 230 Original Medicare Part B services in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Published rows only; this is not a quality measure.
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Published Part B service records, 2020:
- 99497 — Advance care planning: 48 service units.
- 99358 — Prolonged patient service without direct patient contact first hour: 38 service units.
- 99223 — Initial hospital care with moderate level of medical decision making: 34 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2019 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2020). CPT notice
See all 8 records in the table · Guide: How to read Medicare Part B data
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Medicare Part B services went from 277 in 2017 to 230 in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2020.
Practice Location & Contact Primary Location
38135 Market Sq
Zephyrhills, FL 335427505
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $26,217 in 2020
The total amount Medicare approved for these services in 2020. 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, 2020.
Paid by Medicare
About $20,835 in 2020
The part of the Medicare-allowed amount that Medicare itself paid in 2020, 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, 2020.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
NPI first issued
2015
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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.
Compared with the same specialty in Zephyrhills and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Gail Clemson are from 2020.
36 active clinicians are listed under Nurse Practitioner with a practice address in Zephyrhills, FL (8,853 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Zephyrhills
5.6% of these 36 clinicians have the CMS telehealth indicator.
69.4% of these 36 clinicians are listed by CMS as accepting Medicare assignment.
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 decreased 17% from 277 in 2017 to 230 in 2020.
- 2017: 277
- 2018: 481
- 2019: 817
- 2020: 230
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $26,443 in 2017 and $26,217 in 2020.
- 2017: $26,443
- 2018: $45,329
- 2019: $78,422
- 2020: $26,217
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Paid by Medicare
Paid by Medicare varied from year to year: $21,069 in 2017 and $20,835 in 2020.
- 2017: $21,069
- 2018: $36,027
- 2019: $62,486
- 2020: $20,835
Sources: CMS Medicare Physician & Other Practitioners (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2019 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, 2017–2020; 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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99497
Advance care planning, first 30 minutes
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48 | 38 | $213.18 | $67.36 |
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99358
Prolonged patient service without direct patient contact first hour
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38 | 35 | $280.49 | $95.18 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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34 | 33 | $516.00 | $173.19 |
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99497
Advance care planning, first 30 minutes
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26 | 22 | $91.63 | $73.61 |
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99350
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
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24 | 14 | $182.72 | $155.31 |
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99345
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes
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23 | 23 | $226.58 | $192.59 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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22 | 14 | $265.00 | $88.97 |
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99358
Prolonged patient service without direct patient contact first hour
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15 | 15 | $116.17 | $96.69 |
Source: CMS Part B by Provider and Service, 2020; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Hospitalist
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Registered Nurse Practitioner
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Nurse Practitioner
Advanced Practice Registered Nurse
Nurse Practitioner
Advanced Registered Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 38135 MARKET SQ, ZEPHYRHILLS, FL 335427505 (Tel: 8137885575)
Registered at 38135 MARKET SQ, ZEPHYRHILLS, FL 335427505 (Tel: 8137880820)
Recorded as GAIL CLEMSON, ARNP
Nurse Practitioner (license number reported to NPPES: FL 1792232)
NPI status registered as active in NPPES database
Registered at 37826 SKY RIDGE CIR, DADE CITY, FL 335250836 (Tel: 8137801235)
Registered at 37826 SKY RIDGE CIR, DADE CITY, FL 335250836 (Tel: 8137801235)
Recorded as GAIL CLEMSON, ARNP
Nurse Practitioner (license number reported to NPPES: FL 1792232)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Zephyrhills
- Darlene Montani, MSN APRN FNP-BC ONC
- Audrey Blendowski, APRN
- Julia Woodroffe, APRN
- Gabrielle Tufano, APRN
- Erin Lepochat, APRN
- Autumn Stucker, APRN
Mailing Address
38135 Market Sq
Zephyrhills, FL 335427505
Phone: 8137880820