DR. RONNIE CLAIBORNE M.D.
NPI 1578503256
General Practice in Bakersfield, CA

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
44.75/100
CMS Quality Rating
1925 17TH STREET, BAKERSFIELD, CA 93301(661) 323-2295(661) 323-8040 Get Directions Write a Review

NPPES record last updated: February 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ronnie Claiborne M.d. NPPES

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

DR. RONNIE CLAIBORNE M.D. (NPI 1578503256) is an individual general practice provider in Bakersfield, California, licensed in California (G66649) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (1987).

NPPES Registry Identity

NPI1578503256
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. RONNIE CLAIBORNECredential: M.D.
Location Address1925 17TH STREETBakersfield, CA 93301-5012
Mailing Address1925 17th StBakersfield, CA 93301-4201 · (661) 323-2295 · Fax (661) 323-8040
Fax(661) 323-8040
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1987
Enumeration DateJune 8, 2006
Last NPPES UpdateFebruary 12, 2014
NPI 1578503256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · G66649
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1925 17TH STREET, Bakersfield, CA 93301

Other Identifiers 3

Medicare UPINE97256CA
Medicare ID-Type Unspecified00G666490CA
Medicaid00G666491CA

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. Ronnie Claiborne 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 ID1557374956
PECOS Enrollment IDI20060802000288
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 22

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
379 services145 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.
340 services129 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
329 services61 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
180 services129 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
139 services110 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
129 services77 patients

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.

44.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality39.71
Improvement Activities0
Cost69.99

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers38 claims100 services$6.49 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers11 claims11 services$2.68 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers17 claims33 services$1.14 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims1,790 services$11.16 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims358 services$280.54 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims358 services$8.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ronnie Claiborne's NPI number?

The NPI number for Ronnie Claiborne is 1578503256. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Ronnie Claiborne located?

Ronnie Claiborne practices at 1925 17th Street, Bakersfield, CA 93301. The listed phone number is (661) 323-2295.

What is Ronnie Claiborne's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ronnie Claiborne enrolled in Medicare?

Yes. Ronnie 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.

When was this NPI record last updated?

The NPPES record for Ronnie Claiborne was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.