Joseph Claiborne, MD
NPI 1164954665 · Internal Medicine Physician · Garland, TX
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Joseph Claiborne, MD is a Internal Medicine Physician provider in Garland, TX (NPI 1164954665).
Provider details
- NPI number
- 1164954665
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- S5143 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
31 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 31 | $122 |
Typical Medicare-allowed amounts for these services range $122–$122 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 57 | 31 |
| Amlodipine Besylate | 46 | 25 |
| Losartan Potassium | 43 | 20 |
| Dapagliflozin Propanediolbrand: Farxiga | 29 | 12 |
| Pantoprazole Sodium | 22 | 11 |
| Metformin Hcl | 22 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$985 across 49 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1400 N Coit Rd Ste 302Mckinney, TX 75071-6656Phone: (888) 803-3370
Registry dates
- Enumerated
- 2017-04-03
- Last updated
- 2024-09-19
- Certified
- 2024-09-19
Frequently asked questions
- What is Joseph Claiborne's NPI number?
- Joseph Claiborne's National Provider Identifier (NPI) is 1164954665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joseph Claiborne's specialty?
- Joseph Claiborne is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Joseph Claiborne located?
- Joseph Claiborne's practice location on file with NPPES is 375 Cedar Sage Dr Ste 200, Garland, TX 75040-2989.
- What is Joseph Claiborne's phone number?
- The practice phone number listed in the NPPES registry for Joseph Claiborne is (469) 809-4247.
- Does Joseph Claiborne accept Medicare?
- Joseph Claiborne is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Joseph Claiborne's NPI active?
- Yes — Joseph Claiborne's NPI (1164954665) is active in the NPPES registry as of the last update on 2024-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.