DR. PHILIP G CLAIRE D.O.
NPI 1285991182
Radiology - Vascular & Interventional Radiology in Miami, FL

Q: What is Philip Claire's NPI number?

The NPI number for Philip Claire is 1285991182. It was assigned to this individual provider in the NPPES registry on April 16, 2012.

Q: What is Philip Claire's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Philip Claire was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since April 16, 2012PECOS EnrolledAccepts Medicare Assignment

84.85/100

CMS Quality Rating

9200 S DADELAND BLVD STE 101, MIAMI, FL 33156(305) 670-1044 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2022, Sep 20, 2018 (2 updates tracked since 2018).

On this page

About Dr. Philip G Claire D.o. NPPES

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

DR. PHILIP G CLAIRE D.O. (NPI 1285991182) is an individual vascular & interventional radiology provider in Miami, Florida, licensed in Florida (16352) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Plainview, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2012).

NPPES Registry Identity

NPI1285991182

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameDR. PHILIP G CLAIRECredential: D.O.

Location Address9200 S DADELAND BLVD STE 101Miami, FL 33156-2703

Mailing AddressPo Box 415549Boston, MA 02241-5549 · (610) 644-8900 · Fax (484) 924-0053

Phone(305) 670-1044

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2012

Enumeration DateApril 16, 2012

Last NPPES UpdateJuly 6, 20222 updates tracked since enumeration

NPPES CertifiedJuly 6, 2022

✔ NPI 1285991182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in FL · 16352

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 293336 (NY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9200 S DADELAND BLVD STE 101, Miami, FL 33156

Open in Google Maps ↗

Secondary Practice Location 1

Location 1888 Old Country RdPlainview, NY 11803-4914 · Phone (516) 719-2222

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Dr. Philip G Claire D.o. 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 ID8325303688

PECOS Enrollment IDI20210720000688

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 Reassignment

Medicare enrollment records show Philip Claire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Access Care Of Miami, LLC

Same address

Vascular & Interventional Radiology

9200 S. DADELAND BLVD, SUITE 101, DADELAND TOWERS NORTH
Miami, FL 33156

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1285872978 (305) 670-1044

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 18

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.

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

211 services153 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

95 services76 patients

Balloon dilation of dialysis segment with review by radiologist 36907

Balloon dilation of a dialysis segment is a procedure where a tiny balloon is inserted and inflated in a narrowed area of your dialysis access site, improving blood flow. A radiologist reviews images to ensure success.

67 services49 patients

Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901

This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.

64 services51 patients

Replacement of tunneled central venous tube 36581

A tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.

60 services47 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

59 services41 patients

Removal of tunneled central venous tube 36589

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

55 services55 patients

Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel 37253

An ultrasound evaluation of a blood vessel is a non-invasive procedure that uses sound waves to create images of your blood vessels. A radiologist reviews these images to check for any abnormalities. If additional vessels need reviewing, the process is repeated.

49 services22 patients

Removal and dissolving of blood clot from vein using fluoroscopic guidance, initial treatment 37187

This procedure involves the use of fluoroscopy, a type of medical imaging, to locate and dissolve a blood clot in a vein. The initial treatment involves injecting a clot-dissolving medication into the affected vein to break down the clot and restore normal blood flow.

42 services37 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

42 services38 patients

Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube 36905

This procedure involves eliminating a blood clot in your hemodialysis circuit, ensuring smooth blood flow. A balloon tube is used to widen the dialysis segment if needed. Images are taken and reviewed by a radiologist to confirm successful completion.

32 services26 patients

Ultrasound evaluation of blood vessel with review by radiologist, initial vessel 37252

This procedure involves using ultrasound, a safe imaging technique, to examine your blood vessels. The images are then reviewed by a radiologist, a doctor specialized in medical imaging. The process helps identify any abnormalities in your initial vessel.

32 services28 patients

Permanent blockage of hemodialysis circuit with review by radiologist 36909

This is a procedure where a radiologist reviews the permanent blockage of your hemodialysis circuit. Hemodialysis is a treatment that uses a machine to clean your blood when your kidneys can't. A blockage can prevent this process, which may need review or intervention.

24 services18 patients

Balloon dilation of vein with review by radiologist, initial vein 37248

Balloon dilation of a vein is a procedure where a small balloon is inserted into a narrowed vein. Once in place, the balloon is inflated to widen the vein and improve blood flow. The procedure is overseen by a radiologist, who uses imaging techniques to ensure accurate placement of the balloon. This is done on the initial vein requiring treatment.

22 services19 patients

Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist 36903

This procedure involves placing a needle or tube into your hemodialysis circuit, a system used to clean your blood when kidneys are not working properly. A stent, a small tube, is then inserted into the dialysis segment to keep it open. A radiologist reviews the process to ensure accuracy.

20 services18 patients

Insertion of tunneled central venous tube for infusion (5 years or older) 36558

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

17 services15 patients

Insertion of tube into chest or arm artery, each first order branch 36215

This procedure involves placing a thin tube into a chest or arm artery. It is done to monitor blood pressure, take blood samples, or deliver medications. The tube may also be inserted into each first order branch, which are the initial divisions of the main artery.

14 services13 patients

Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist 36906

This is a procedure to improve your dialysis treatment. If a blood clot blocks your dialysis circuit, it's removed or dissolved. If the dialysis segment is narrow, a balloon is used to widen it. Sometimes, a stent is placed to keep it open. A radiologist reviews all these steps to ensure accuracy.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33156 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

Most-billed visit code 99213

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.

84.85/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.35

Improvement Activities

Cost

51.71

Other Providers at the Same Location NPPES

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

DR. JOSE A. RAMIREZ M.D.

Surgery (Vascular Surgery)

9200 S DADELAND BLVD STE 101
MIAMI, FL 33156

Miami-Dade County (305) 670-1044

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 Philip Claire's NPI number?

The NPI number for Philip Claire is 1285991182. It was assigned to this individual provider in the NPPES registry on April 16, 2012.

Where is Philip Claire located?

Philip Claire practices at 9200 S Dadeland Blvd Ste 101, Miami, FL 33156. The listed phone number is (305) 670-1044.

What is Philip Claire's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Philip Claire enrolled in Medicare?

Yes. Philip Claire 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 organization bills Medicare for Philip Claire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Claire reassigns Medicare benefits to American Access Care Of Miami, LLC (Miami, FL). The 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 Philip Claire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Claire accept?

Health plans from Oscar Health Maintenance Organization of Florida list Philip Claire 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 Philip Claire was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.