NPPES file of Aug 9, 2026

Justin A. Clem, M.D.

Family Medicine Physician · Madison, SD

Justin A. Clem, M.D. is a family medicine physician with a practice address in Madison, South Dakota, and NPI 1083050827, issued on May 20, 2013. Check the license (South Dakota 9998, as entered in NPPES) on the South Dakota Board of Medical and Osteopathic Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1083050827
Name
Justin A. Clem
Credential
M.D.
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
9998 SD
Self-reported in NPPES; status is on the state search
Practice location
323 10TH St SW, Madison, SD 57042
Phone
(605) 256-6551
Enumerated
May 20, 2013
Record last updated
Nov 8, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(605) 255-6409
Medicare enrollment
Enrolled (PECOS I20160926001921); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Justin A. Clem in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersSouth Dakota Board of Medical and Osteopathic Examiners
    Search for license 9998
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the South Dakota license search

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2.8 times the Medicare Part D claims of the average family medicine physician in 2024

9,945 Medicare Part D claims for 465 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims. 211 claims were for opioids.

  1. Justin Clem9,945
  2. Specialty average3,544

Most prescribed

  1. Atorvastatin Calcium564 claims
  2. Omeprazole494 claims
  3. Tamsulosin Hcl439 claims
  4. Lisinopril384 claims
  5. Losartan Potassium376 claims
  6. Levothyroxine Sodium328 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 90.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score86.7
  2. Costout of 100 · 30%91.7
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Madison Community HospitalMadison, SD

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Justin A. Clem among 601 family medicine physician records in South Dakota

Justin A. Clem, M.D. is one of 601 family medicine physician records with a practice address in South Dakota. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 71% of them.

  • NPI issued2013 · 71% of these records are older, 26% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated2013 · median 2008 among the 393 with a school on file
  • Record last updated2016 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a South Dakota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

8 family medicine physician records list a practice address in Madison

They are 8 of the 104 NPPES records with a practice address in Madison, and 601 family medicine physician records in South Dakota.

The 8 family medicine physician records with the nearest ZIP codes

  1. Mary Beecher, M.D.Madison, SD 570421710964531
  2. Ryan Buse, M.D.Madison, SD 570421881125763
  3. Bernard Heilman, M.D.Madison, SD 570421538227541
  4. Laura Hoefert, M.D.Madison, SD 570421750624177
  5. Laurel Jennings Johnson, MDMadison, SD 570421891772521
  6. Carl Lang, MDMadison, SD 570421245972314
  7. Ben Liscano, MDMadison, SD 570421326301128
  8. Linda Bruns, RNLennox, SD 570391144334855

Common questions

What is Justin A. Clem, M.D.'s NPI number?

Justin A. Clem, M.D.'s National Provider Identifier (NPI) is 1083050827, issued on May 20, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Justin A. Clem, M.D. located?

The NPPES record lists a practice address at 323 10TH St SW, Madison, SD, 57042. Phone: (605) 256-6551. Providers update this record themselves, so call before visiting.

How can I verify Justin A. Clem, M.D.'s license?

NPPES lists South Dakota license number 9998, as entered by the provider. Search the South Dakota Board of Medical and Osteopathic Examiners at https://www.sdbmoe.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Justin A. Clem, M.D. prescribe under Medicare Part D?

In 2024, Justin A. Clem, M.D. had 9,945 Medicare Part D claims for 465 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is Justin A. Clem, M.D.'s MIPS final score?

The 2023 MIPS final score is 90.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.