Claudia Claiborne, MD
NPI 1407825466 · Internal Medicine Physician · Albemarle, NC
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Claudia Claiborne, MD is a Internal Medicine Physician provider in Albemarle, NC (NPI 1407825466).
Provider details
- NPI number
- 1407825466
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 21456 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
61 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 40 | $159 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 21 | $122 |
Typical Medicare-allowed amounts for these services range $122–$159 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$32 across 1 record (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 (2)
- 501 S Poplar StElizabethtown, NC 28337-9375Phone: (910) 862-5100
- 210 Medical Pavilion DrRaeford, NC 28376-9111Phone: (910) 904-8000
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2025-07-02
- Certified
- 2025-07-02
Frequently asked questions
- What is Claudia Claiborne's NPI number?
- Claudia Claiborne's National Provider Identifier (NPI) is 1407825466, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Claudia Claiborne's specialty?
- Claudia Claiborne is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Claudia Claiborne located?
- Claudia Claiborne's practice location on file with NPPES is 301 Yadkin St, Albemarle, NC 28001-3441.
- What is Claudia Claiborne's phone number?
- The practice phone number listed in the NPPES registry for Claudia Claiborne is (704) 984-4365.
- Does Claudia Claiborne accept Medicare?
- Claudia Claiborne is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Claudia Claiborne's NPI active?
- Yes — Claudia Claiborne's NPI (1407825466) is active in the NPPES registry as of the last update on 2025-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.