Doctor profile · Federal record
Dr. Paul Claiborne, MD
Surgery Physician (CMS: General Surgery) · Student in an Organized Health Care Education/Training Program · Waco, TX
- NPI 1205192994
- Accepts Medicare
- MIPS 74.3 / 100 · 2023
- 14 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
6600 Fish Pond RD Ste 101
Waco, TX 767102582
(254) 776-3188
fax (254) 776-3607
Credentials & registration
- NPI registered
- April 2012 — 14 yrs on file
- Profile last updated
- July 21, 2022
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Texas #R2307
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205192994. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
229
Distinct HCPCS
10
Medicare allowed
$33,884
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 37 | 37 | $155 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 28 | 28 | $126 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 26 | 26 | $104 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 22 | 22 | $120 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 21 | 19 | $87 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 20 | 12 | $115 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 17 | 17 | $168 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 13 | 13 | $55 | |
47562 |
Removal of gallbladder using an endoscope | 12 | 12 | $633 | |
10005 |
Fine needle aspiration biopsy using ultrasound guidance, first growth | 11 | 11 | $131 |
In context: peer comparison
Among 5 peers in Waco Surgery Physician, average services per provider: 25. This provider delivers 9.2× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
176
Patients
160
Total drug cost
$1,385
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 120 | 107 | $1,106 |
| Metronidazole | Generic | 22 | 21 | $37 |
| Neomycin Sulfate | Generic | 21 | 20 | $136 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 13 | 12 | $106 |
Frequently asked questions
What is Dr. Paul Claiborne's medical specialty?
Dr. Paul Claiborne practices Surgery Physician in Waco, TX.
Where does Dr. Paul Claiborne practice?
Dr. Paul Claiborne practices at 6600 Fish Pond RD Ste 101, Waco, TX 767102582. Office phone: 2547763188.
What is Dr. Paul Claiborne's NPI?
Dr. Paul Claiborne's National Provider Identifier (NPI) is 1205192994, issued by NPPES.
Does Dr. Paul Claiborne accept Medicare assignment?
Yes. Dr. Paul Claiborne accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Paul Claiborne commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.