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DR. JAMES CHRISTOPHER CLIFFORD M.D.
NPI 1619034030
Internal Medicine in Imperial Beach, CA

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
1498 13TH STREET, NOLF IB MEDICAL DEPARTMENT BLDG 184, IMPERIAL BEACH, CA 91932(619) 921-5077 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Christopher Clifford M.d. NPPES

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

DR. JAMES CHRISTOPHER CLIFFORD M.D. (NPI 1619034030) is an individual internal medicine provider in Imperial Beach, California, licensed in California (A109342) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2006).

NPPES Registry Identity

NPI1619034030
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES CHRISTOPHER CLIFFORDCredential: M.D.
Location Address1498 13TH STREET, NOLF IB MEDICAL DEPARTMENT BLDG 184Imperial Beach, CA 91932
Mailing Address4552 Fairfield DrBethesda, MD 20814-4704
Phone(619) 921-5077
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2006
Enumeration DateJanuary 3, 2007
Last NPPES UpdateApril 16, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1619034030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · A109342✔ Licensed in IN · 01064296A✔ Licensed in AZ · 67425
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.
1498 13TH STREET, Imperial Beach, CA 91932
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Dr. James Christopher Clifford 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 ID3173798980
PECOS Enrollment IDI20220829002301
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 Reassignment

Medicare enrollment records show James Clifford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Einfectionmd PC
302 mi
Infectious Disease
2375 E CAMELBACK RD STE 600
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 40 clinicians in this Medicare group
NPI 1417437526 (602) 538-6122

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91932 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

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 Clifford's NPI number?

The NPI number for James Clifford is 1619034030. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is James Clifford located?

James Clifford practices at 1498 13th Street Nolf Ib Medical Department Bldg 184, Imperial Beach, CA 91932. The listed phone number is (619) 921-5077.

What is James Clifford's specialty?

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

Is James Clifford enrolled in Medicare?

Yes. James Clifford 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 organization bills Medicare for James Clifford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Clifford reassigns Medicare benefits to Einfectionmd PC (Phoenix, AZ). The 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 James Clifford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Clifford accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list James Clifford 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 James Clifford was last updated on April 16, 2024. 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.