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DR. JAMES RAFAEL MCCLURG M.D.
NPI 1306817895
Orthopaedic Surgery in San Diego, CA

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
5830 OBERLIN DR STE 102, SAN DIEGO, CA 92121(619) 297-9500(619) 297-9508 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Rafael Mcclurg M.d. NPPES

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

DR. JAMES RAFAEL MCCLURG M.D. (NPI 1306817895) is an individual orthopaedic surgery provider in San Diego, California, licensed in California (G70807) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (1986).

NPPES Registry Identity

NPI1306817895
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES RAFAEL MCCLURGCredential: M.D.
Location Address5830 OBERLIN DR STE 102San Diego, CA 92121
Mailing Address5830 Oberlin Dr Ste 102San Diego, CA 92121-3753 · (619) 297-9500 · Fax (619) 297-9508
Phone(619) 297-9500
Fax(619) 297-9508
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1986
Enumeration DateFebruary 1, 2006
Last NPPES UpdateMay 31, 2018
✔ NPI 1306817895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · G70807
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License G70807 (CA)
5830 OBERLIN DR STE 102, San Diego, CA 92121
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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. James Rafael Mcclurg 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 ID3173688645
PECOS Enrollment IDI20090217000267
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 4

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 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.
55 services19 patients
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.
26 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES

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

JAMES R MCCLURG MD PROFESSIONAL CORP
Specialist
5830 OBERLIN DR STE 102
SAN DIEGO, CA 92121
San Diego County (619) 297-9500

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 James Mcclurg's NPI number?

The NPI number for James Mcclurg is 1306817895. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is James Mcclurg located?

James Mcclurg practices at 5830 Oberlin Dr Ste 102, San Diego, CA 92121. The listed phone number is (619) 297-9500.

What is James Mcclurg's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Mcclurg enrolled in Medicare?

Yes. James Mcclurg 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.

When was this NPI record last updated?

The NPPES record for James Mcclurg was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.