Claire Ledford, PA-C
NPI 1861905655 · Physician Assistant · Gainesville, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Claire Ledford, PA-C is a Physician Assistant provider in Gainesville, GA (NPI 1861905655).
Provider details
- NPI number
- 1861905655
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 7660 (GA)
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
8 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
826 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 | 327 | $102 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 245 | $13 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 231 | $11 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 23 | $134 |
Typical Medicare-allowed amounts for these services range $11–$134 (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 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Apixabanbrand: Eliquis | 91 | 25 |
| Amlodipine Besylate | 51 | 26 |
| Metoprolol Succinate | 42 | 19 |
| Rosuvastatin Calcium | 34 | 14 |
| Lisinopril | 28 | 11 |
| Hydrochlorothiazide | 27 | 14 |
| Atorvastatin Calcium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$713 across 36 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
Registry dates
- Enumerated
- 2017-11-15
- Last updated
- 2017-11-15
Frequently asked questions
- What is Claire Ledford's NPI number?
- Claire Ledford's National Provider Identifier (NPI) is 1861905655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Claire Ledford's specialty?
- Claire Ledford is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Claire Ledford located?
- Claire Ledford's practice location on file with NPPES is 535 Jesse Jewell Pkwy Se Ste C, Gainesville, GA 30501-3772.
- What is Claire Ledford's phone number?
- The practice phone number listed in the NPPES registry for Claire Ledford is (770) 534-9014.
- Does Claire Ledford accept Medicare?
- Claire Ledford is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Claire Ledford's NPI active?
- Yes — Claire Ledford's NPI (1861905655) is active in the NPPES registry as of the last update on 2017-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.