CLAUDIA VIOLA CLAIBORNE MD
NPI 1407825466
Internal Medicine in Albemarle, NC

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
301 YADKIN ST, ALBEMARLE, NC 28001(704) 984-4365(704) 983-7856 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 2, 2025, Jan 17, 2019, Dec 12, 2017 (3 updates tracked since 2017).

About Claudia Viola Claiborne Md NPPES

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

CLAUDIA VIOLA CLAIBORNE MD (NPI 1407825466) is an individual internal medicine provider in Albemarle, North Carolina, licensed in North Carolina (200000750) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407825466
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCLAUDIA VIOLA CLAIBORNECredential: MD
Location Address301 YADKIN STAlbemarle, NC 28001-3441
Mailing AddressPo Box 601643, Carolinas Hospitalist Group - StanlyCharlotte, NC 28260-1643 · (704) 984-4365 · Fax (704) 983-7856
Fax(704) 983-7856
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 14, 2006
Last NPPES UpdateJuly 2, 20253 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1407825466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NC · 200000750✔ Licensed in SC · 21456
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.
Also ListedHospitalistTaxonomy 208M00000X · License 200000750 (NC), 0101263965 (VA)
301 YADKIN ST, Albemarle, NC 28001

Secondary Practice Locations 2

Location 1501 S Poplar StElizabethtown, NC 28337-9375 · Phone (910) 862-5100
Location 2210 Medical Pavilion DrRaeford, NC 28376-9111 · Phone (910) 904-8000

Other Identifiers 3

Other126XNNC · Bcbs
Other110212775NC · Railroad Medicare
Medicaid89126XNNC

Accepted 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

Claudia Viola Claiborne 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 ID1153418082
PECOS Enrollment IDI20071024000604
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

10

Medicare enrollment records show Claudia Claiborne reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
4620 WOODY MILL RD STE G
Greensboro, NC 27406
  • Reassigned Medicare billing, North Carolina enrollment
  • 691 clinicians in this Medicare group
Rural Health
405 S MAIN ST
Raeford, NC 28376
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
Rural Health
16 3RD ST
Dublin, NC 28332
  • Reassigned Medicare billing, North Carolina enrollment
  • 170 clinicians in this Medicare group
Anesthesiology
5 RICHLAND MEDICAL PARK DR
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
Rural Health
3009 MEDICAL PLAZA LN
Southport, NC 28461
  • Reassigned Medicare billing, North Carolina enrollment
  • 68 clinicians in this Medicare group
Multi-Specialty
1200 BENNS CHURCH BLVD
Smithfield, VA 23430
  • Reassigned Medicare billing, Virginia enrollment
  • 1,097 clinicians in this Medicare group
General Practice
1221 S GEAR AVE
West Burlington, IA 52655
  • Reassigned Medicare billing, North Carolina enrollment
  • 7 clinicians in this Medicare group
Critical Access
407 S WHITE ST
Mount Pleasant, IA 52641
  • Reassigned Medicare billing, Iowa and North Carolina enrollments
  • Also billed through NPI 1871177477 (North Carolina)
  • 142 clinicians in this Medicare group
Hospitalist
4401 UNION ST
Johnstown, CO 80534
  • Reassigned Medicare billing, South Carolina enrollment
  • 70 clinicians in this Medicare group
Internal Medicine
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, South Carolina enrollment
  • 209 clinicians in this Medicare group

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 2

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.

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.
40 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28001 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

Physician Assistant
301 YADKIN ST
ALBEMARLE, NC 28001
Pharmacist
301 YADKIN ST
ALBEMARLE, NC 28001
General Acute Care Hospital
301 YADKIN ST
ALBEMARLE, NC 28001
Physician Assistant
301 YADKIN ST
ALBEMARLE, NC 28001
Physical Therapist
301 YADKIN ST
ALBEMARLE, NC 28001
Nurse Anesthetist, Certified Registered
301 YADKIN ST
ALBEMARLE, NC 28001
Nurse Practitioner (Family)
301 YADKIN ST
ALBEMARLE, NC 28001
Emergency Medicine
301 YADKIN ST
ALBEMARLE, NC 28001

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 Claudia Claiborne's NPI number?

The NPI number for Claudia Claiborne is 1407825466. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Claudia Claiborne located?

Claudia Claiborne practices at 301 Yadkin St, Albemarle, NC 28001. The listed phone number is (704) 984-4365.

What is Claudia Claiborne's specialty?

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

Is Claudia Claiborne enrolled in Medicare?

Yes. Claudia 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.

Which organizations bill Medicare for Claudia Claiborne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudia Claiborne reassigns Medicare benefits to 10 organizations: Moses Cone Physician Services, Inc. (Greensboro, NC), Cumberland County Hospital System Inc (Raeford, NC), Bladen Healthcare, LLC (Dublin, NC), Prisma Health University Medical Group (Columbia, SC), J Arthur Dosher Memorial Hospital (Southport, NC) and 5 more organizations, listed in the Medicare section above. 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 Claudia Claiborne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claudia Claiborne accept?

Health plans from AmeriHealth Caritas Next, Cigna Healthcare and Wellmark Health Plan of Iowa, Inc. list Claudia 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 Claudia Claiborne affiliated with any hospitals?

According to CMS data, Claudia Claiborne is affiliated with Southeast Iowa Regional Medical Center, Sanford Worthington Medical Center and Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Claudia Claiborne was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.