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CLAUDIO PALMA M.D.
NPI 1154348464
Pain Medicine - Interventional Pain Medicine in Columbus, GA

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment
1846 WARM SPRINGS RD STE 101, COLUMBUS, GA 31904(770) 962-3642(770) 962-3643 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2026, May 19, 2026 (2 updates tracked since 2026).

About Claudio Palma M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLAUDIO PALMA M.D. (NPI 1154348464) is an individual interventional pain medicine provider in Columbus, Georgia, licensed in Georgia (112047) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of University Of California, San Diego School Of Medicine (2000).

NPPES Registry Identity

NPI1154348464
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameCLAUDIO PALMACredential: M.D.
Location Address1846 WARM SPRINGS RD STE 101Columbus, GA 31904-8029
Mailing Address455 Philip Blvd Ste 140Lawrenceville, GA 30046-8768 · (770) 962-3642 · Fax (770) 962-3643
Phone(770) 962-3642
Fax(770) 962-3643
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2000
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1154348464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in GA · 112047
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License A79161 (CA)
1846 WARM SPRINGS RD STE 101, Columbus, GA 31904
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Other Names 1

Professional Name (2)Claudio Alejandro Palma Caimanque Md

Secondary Practice Location 1

Location 11580 Valencia St, Suite 703San Francisco, CA 94110-4423 · Phone (415) 642-0707 · Fax (415) 550-1566

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Claudio Palma M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153344676
PECOS Enrollment IDI20241231002243
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Claudio Palma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Georgia Pain And Wellness Center
116 mi
Interventional Pain Medicine
455 PHILIP BLVD, BLDG 100, STE 140
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 58 clinicians in this Medicare group
NPI 1356781181 (770) 962-3642
Advanced Pain Diagnostic & Solutions, Inc.
2,074 mi
Pain
729 SUNRISE AVE STE 602
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
NPI 1427322635 (916) 953-7571
Soma Orthopedics Medical Group Inc
2,138 mi
Orthopaedic Surgery
1580 VALENCIA ST, SUITE 703
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1093903205 (415) 642-0707

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
260 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,186 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%340 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%1,182 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
40%394 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
92%163 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
55%88 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
3%394 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGIA PAIN AND WELLNESS CENTER
Pain Medicine (Interventional Pain Medicine)
1846 WARM SPRINGS RD STE 101
COLUMBUS, GA 31904
Muscogee County (770) 962-3642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Claudio Palma's NPI number?

The NPI number for Claudio Palma is 1154348464. It was assigned to this individual provider in the NPPES registry on July 16, 2006. The provider is also known as Claudio Alejandro Palma Caimanque MD.

Where is Claudio Palma located?

Claudio Palma practices at 1846 Warm Springs Rd Ste 101, Columbus, GA 31904. The listed phone number is (770) 962-3642.

What is Claudio Palma's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Claudio Palma enrolled in Medicare?

Yes. Claudio Palma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Claudio Palma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudio Palma reassigns Medicare benefits to 3 organizations: Georgia Pain And Wellness Center (Lawrenceville, GA), Advanced Pain Diagnostic & Solutions, Inc. (Roseville, CA) and Soma Orthopedics Medical Group Inc (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Claudio Palma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claudio Palma accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Claudio Palma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Claudio Palma was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.