1. Home
  2. Directory
  3. Georgia
  4. Ellijay
  5. Internal Medicine
  6. NPI Profile

CLARO TESORO PALMA MD
NPI 1679527063
Internal Medicine - Rheumatology in Ellijay, GA

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
98.5/100
CMS Quality Rating
822 INDUSTRIAL BLVD STE 100, ELLIJAY, GA 30540(706) 515-7030 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Claro Tesoro Palma Md NPPES

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

CLARO TESORO PALMA MD (NPI 1679527063) is an individual rheumatology provider in Ellijay, Georgia, licensed in Georgia (82720) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Cartersville Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1679527063
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameCLARO TESORO PALMACredential: MD
Location Address822 INDUSTRIAL BLVD STE 100Ellijay, GA 30540-3804
Mailing Address2727 Paces Ferry Rd Se Ste 1-1100Atlanta, GA 30339-6151 · (470) 271-3418
Phone(706) 515-7030
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMay 20, 2006
Last NPPES UpdateJuly 8, 2019
✔ NPI 1679527063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in GA · 82720
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
822 INDUSTRIAL BLVD STE 100, Ellijay, GA 30540
Open in Google Maps ↗

Other Identifiers 3

Medicaid0133629IA
Other42141730753IA · John Deere Health Ins Pla
Other52996IA · Wellmark Ins Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Claro Tesoro Palma 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 ID4587708201
PECOS Enrollment IDI20190723002095
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
532 services309 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.
502 services258 patients
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.
118 services112 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
114 services114 patients

Hospital Affiliations CMS Care Compare 5

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

Piedmont Cartersville Medical Center

Acute Care Hospitals · Cartersville, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110030
Location960 Joe Frank Harris ParkwayCartersville, GA 30120 · Bartow County
Emergency services Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Erlanger Murphy Medical Center

Critical Access Hospitals · Murphy, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341328
Location3990 East Us Highway 64 AltMurphy, NC 28906 · Cherokee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30540 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

98.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

RACQUEL DENISE WATKINS RN
Registered Nurse
822 INDUSTRIAL BLVD STE 100
ELLIJAY, GA 30540
Gilmer County (706) 635-4363
MRS. ANGELA ASHLEY SCHNEIDER NP-C
Nurse Practitioner (Family)
822 INDUSTRIAL BLVD STE 100
ELLIJAY, GA 30540
Gilmer County (706) 515-7070
BRITTANY MARTIN MD
Family Medicine
822 INDUSTRIAL BLVD STE 100
EAST ELLIJAY, GA 30540
Gilmer County (706) 515-7010

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 Claro Palma's NPI number?

The NPI number for Claro Palma is 1679527063. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Claro Palma located?

Claro Palma practices at 822 Industrial Blvd Ste 100, Ellijay, GA 30540. The listed phone number is (706) 515-7030.

What is Claro Palma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Claro Palma enrolled in Medicare?

Yes. Claro Palma 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 Claro Palma accept?

Health plans from Alliant Health Plans, Inc. list Claro Palma 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 Claro Palma affiliated with any hospitals?

According to CMS data, Claro Palma is affiliated with Piedmont Cartersville Medical Center, Adventhealth Murray, Union General Hospital, Piedmont Mountainside Hospital Inc and Erlanger Murphy Medical Center.

When was this NPI record last updated?

The NPPES record for Claro Palma was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.