EXCLUDEDPROVIDER
Individual Revocation

Kevin Reed Clemmer

Evergreen, CO 80439

Public HHS-OIG LEIE exclusion record

Kevin Reed Clemmer of Evergreen, CO is listed under National Provider Identifier (NPI) 1154379840. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Kevin Reed Clemmer is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of September 20, 2012.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Evergreen, CO 80439
Exclusion date
September 20, 2012
Exclusion type
Revocation (1128b4)
NPI
1154379840

Record summary

Kevin Reed Clemmer appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Evergreen, Colorado. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is September 20, 2012, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateSeptember 20, 2012
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1154379840
UPING14848
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Evergreen, CO 80439. The listed provider category is Physician (MD, DO). The listed specialty is Pain Management.

Other excluded providers in Evergreen, CO

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Evergreen, CO address.

Jane Elizabeth Voisin Individual Revocation
Evergreen, CO · License revocation, suspension, or surrender · Excluded Jul 2025
Holly Lillian Pyle Individual Revocation
Evergreen, CO · License revocation, suspension, or surrender · Excluded Oct 2020
Neil Ira Feinberg Individual Revocation
Evergreen, CO · License revocation, suspension, or surrender · Excluded Jun 2010
Anna Marie Whiterock Individual Revocation
Evergreen, CO · License revocation, suspension, or surrender · Excluded Oct 2004
Karen R Fleming Individual Revocation
Evergreen, CO · License revocation, suspension, or surrender · Excluded Nov 1999
James L Dove Individual Revocation
Evergreen, CO · License revocation, suspension, or surrender · Excluded Jan 1998
Elizabeth Marie Randolph Individual Revocation
Evergreen, CO · License revocation, suspension, or surrender · Excluded Oct 1997

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify this record with the official HHS-OIG source Save or print this record Monitor this provider/entity Need to screen a list? Join the bulk screening beta

Remove or correct this record →

Related

More Excluded Individuals in Colorado More Records in Evergreen More Revocation Records