DR. DAIMA FANAKA RATCLIFF M.D.
NPI 1548423205
Family Medicine - Geriatric Medicine in The Woodlands, TX

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
17200 ST LUKES WAY, THE WOODLANDS, TX 77384(936) 266-2000 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daima Fanaka Ratcliff M.d. NPPES

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

DR. DAIMA FANAKA RATCLIFF M.D. (NPI 1548423205) is an individual geriatric medicine provider in The Woodlands, Texas, licensed in Texas (N7481) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Chi St Lukes Health Memorial Lufkin, and is a graduate of University Of Texas Medical School At San Antonio (2008).

NPPES Registry Identity

NPI1548423205
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameDR. DAIMA FANAKA RATCLIFFCredential: M.D.
Location Address17200 ST LUKES WAYThe Woodlands, TX 77384-8007
Mailing Address17200 St Lukes WayThe Woodlands, TX 77384-8007 · (936) 266-2000
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2008
Enumeration DateJuly 2, 2008
Last NPPES UpdateNovember 20, 2023
NPPES CertifiedNovember 20, 2023
NPI 1548423205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in TX · N7481
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedHospitalistTaxonomy 208M00000X · License N7481 (TX)
17200 ST LUKES WAY, The Woodlands, TX 77384

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. Daima Fanaka Ratcliff 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 ID5092965509
PECOS Enrollment IDI20121018000324
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 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 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.
168 services164 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.
144 services135 patients

Hospital Affiliations CMS Care Compare 4

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

Chi St Lukes Health Memorial Lufkin

Acute Care Hospitals · Lufkin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450211
Location1201 West Frank StreetLufkin, TX 75901 · Angelina County
Emergency services Birthing friendly

Chi St Lukes Health Memorial Livingston

Acute Care Hospitals · Livingston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450395
Location1717 Hwy 59 BypassLivingston, TX 77351 · Polk County
Emergency services Birthing friendly

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Chi St Lukes Lakeside Hospital

Acute Care Hospitals · The Woodlands, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number670059
Location17400 St Lukes WayThe Woodlands, TX 77384 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77384 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%241 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Emergency Medicine
17200 ST LUKES WAY
THE WOODLANDS, TX 77384
Nurse Practitioner (Acute Care)
17200 ST LUKES WAY
THE WOODLANDS, TX 77384
Nurse Practitioner (Family)
17200 ST LUKES WAY
THE WOODLANDS, TX 77384
Psychiatry & Neurology (Neurology)
17200 ST LUKES WAY
THE WOODLANDS, TX 77384
Hospitalist
17200 ST LUKES WAY
THE WOODLANDS, TX 77384
Obstetrics & Gynecology
17200 ST LUKES WAY
THE WOODLANDS, TX 77384
Speech-Language Pathologist
17200 ST LUKES WAY
THE WOODLANDS, TX 77384
Hospitalist
17200 ST LUKES WAY
THE WOODLANDS, TX 77384

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 Daima Ratcliff's NPI number?

The NPI number for Daima Ratcliff is 1548423205. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Daima Ratcliff located?

Daima Ratcliff practices at 17200 St Lukes Way, The Woodlands, TX 77384. The listed phone number is (936) 266-2000.

What is Daima Ratcliff's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Daima Ratcliff enrolled in Medicare?

Yes. Daima Ratcliff 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 Daima Ratcliff accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Daima Ratcliff 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 Daima Ratcliff affiliated with any hospitals?

According to CMS data, Daima Ratcliff is affiliated with Chi St Lukes Health Memorial Lufkin, Chi St Lukes Health Memorial Livingston, St Luke's The Woodlands Hospital and Chi St Lukes Lakeside Hospital.

When was this NPI record last updated?

The NPPES record for Daima Ratcliff was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.