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DR. JOSEPH LEVI CLAIBORNE III MD
NPI 1164954665
Internal Medicine in Garland, TX

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
375 CEDAR SAGE DR STE 200, GARLAND, TX 75040(469) 809-4247(903) 765-7317 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2024, Jul 20, 2020 (2 updates tracked since 2020).

About Dr. Joseph Levi Claiborne Iii Md NPPES

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

DR. JOSEPH LEVI CLAIBORNE III MD (NPI 1164954665) is an individual internal medicine provider in Garland, Texas, licensed in Texas (S5143) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and is a graduate of Meharry Medical College School Of Medicine (2020).

NPPES Registry Identity

NPI1164954665
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSEPH LEVI CLAIBORNE IIICredential: MD
Location Address375 CEDAR SAGE DR STE 200Garland, TX 75040-2989
Mailing Address375 Cedar Sage Dr Ste 200Garland, TX 75040-2989 · (469) 809-4247 · Fax (903) 765-7317
Phone(469) 809-4247
Fax(903) 765-7317
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2020
Enumeration DateApril 3, 2017
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1164954665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · S5143
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
375 CEDAR SAGE DR STE 200, Garland, TX 75040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph Levi Claiborne Iii Md 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 ID3274803119
PECOS Enrollment IDI20200713001734
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.

Areas of Expertise CMS Part B claims

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.
31 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Ennis Regional Medical Center

Acute Care Hospitals · Ennis, TX
OwnershipProprietary
CMS Certification Number450833
Location2201 West Lampasas StreetEnnis, TX 75119 · Ellis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75040 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES 2

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

FELICIA ENO EKPO D.O.
Dermatology
375 CEDAR SAGE DR STE 200
GARLAND, TX 75040
Dallas County (469) 809-4247
DOCTOR EDGES
Clinic/Center
375 CEDAR SAGE DR STE 200
GARLAND, TX 75040
Dallas County (469) 809-4247

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 Joseph Claiborne's NPI number?

The NPI number for Joseph Claiborne is 1164954665. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Joseph Claiborne located?

Joseph Claiborne practices at 375 Cedar Sage Dr Ste 200, Garland, TX 75040. The listed phone number is (469) 809-4247.

What is Joseph Claiborne's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joseph Claiborne enrolled in Medicare?

Yes. Joseph Claiborne 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.

What insurance does Joseph Claiborne accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Joseph Claiborne 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.

Is Joseph Claiborne affiliated with any hospitals?

According to CMS data, Joseph Claiborne is affiliated with Texoma Medical Center and Ennis Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Claiborne was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.