CLETUS IBE PA
NPI 1730334152
Physician Assistant in San Francisco, CA

Q: What is Cletus Ibe's NPI number?

The NPI number for Cletus Ibe is 1730334152. It was assigned to this individual provider in the NPPES registry on November 26, 2008.

Q: What is Cletus Ibe's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Cletus Ibe was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 26, 2008PECOS EnrolledAccepts Medicare Assignment

1825 4TH ST FL 4, SAN FRANCISCO, CA 94143(415) 502-5577 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2022, Aug 15, 2018 (2 updates tracked since 2018).

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About Cletus Ibe Pa NPPES

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

CLETUS IBE PA (NPI 1730334152) is an individual physician assistant in San Francisco, California, licensed in California (54161) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1730334152

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCLETUS IBECredential: PA

Location Address1825 4TH ST FL 4San Francisco, CA 94143-2350

Mailing Address1825 4th St Fl 4San Francisco, CA 94143-2350 · (415) 502-5577

Phone(415) 502-5577

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateNovember 26, 2008

Last NPPES UpdateMay 25, 20222 updates tracked since enumeration

NPPES CertifiedMay 25, 2022

✔ NPI 1730334152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in CA · 54161✔ Licensed in GA · 008826

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1825 4TH ST FL 4, San Francisco, CA 94143

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Cletus Ibe Pa 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 ID4688737976

PECOS Enrollment IDI20230809002535

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.

Hospital Affiliations CMS Care Compare

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

Grant Medical Center

Acute Care Hospitals · Columbus, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360017

Location111 South Grant AvenueColumbus, OH 43215 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

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.

IVY HUANG

Surgery (Surgical Oncology)