Claudio Ginebra, RPA-C
NPI 1821350786 · Physician Assistant · Medford, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Claudio Ginebra, RPA-C is a Physician Assistant provider in Medford, NY (NPI 1821350786).
Provider details
- NPI number
- 1821350786
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RPA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 015636 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
5,242 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) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 3,740 | $68 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 856 | $94 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 522 | $115 |
| Nursing Facility Discharge Management, More Than 30 Minutes99316 | 95 | $118 |
| Residence Visit for New Patient With High Level of Medical Decision Making, Per Day, If Using Time, at Least 75 Minutes99345 | 29 | $183 |
Typical Medicare-allowed amounts for these services range $68–$183 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 51 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tramadol Hcl | 135 | 36 |
| Triamcinolone Acetonide | 92 | 20 |
| Oxycodone Hcl | 74 | 33 |
| Potassium Chloride | 73 | 33 |
| Levothyroxine Sodium | 71 | 41 |
| Clonazepam | 65 | 12 |
| Apixabanbrand: Eliquis | 62 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$113 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
Registry dates
- Enumerated
- 2012-06-15
- Last updated
- 2012-06-15
Frequently asked questions
- What is Claudio Ginebra's NPI number?
- Claudio Ginebra's National Provider Identifier (NPI) is 1821350786, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Claudio Ginebra's specialty?
- Claudio Ginebra is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Claudio Ginebra located?
- Claudio Ginebra's practice location on file with NPPES is 96 Rustic Ave, Medford, NY 11763-4448.
- What is Claudio Ginebra's phone number?
- The practice phone number listed in the NPPES registry for Claudio Ginebra is (631) 495-4694.
- Does Claudio Ginebra accept Medicare?
- Claudio Ginebra is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Claudio Ginebra's NPI active?
- Yes — Claudio Ginebra's NPI (1821350786) is active in the NPPES registry as of the last update on 2012-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.