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

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: August 09, 2026.

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

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
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)
9200 S DADELAND BLVD STE 101, Miami, FL 33156

Secondary Practice Location 1

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

Accepted 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. 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.

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

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
Quality73.35
Improvement Activities40
Cost51.71

Other Providers at the Same Location NPPES

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

Surgery (Vascular Surgery)
9200 S DADELAND BLVD STE 101
MIAMI, FL 33156

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.

What insurance does Philip Claire accept?

Health plans from Molina Healthcare and 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.