LUIS A VALLS MD NPI 1013084573
Internal Medicine in Portland, OR

About LUIS A VALLS MD

Luis Valls is an internist established in Portland, Oregon and his medical specialization is Internal Medicine. The NPI number of Luis Valls is 1013084573 and was assigned on November 2006. The practitioner's primary taxonomy code is 207R00000X with license number MD 17313 (OR). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1013084573
Provider Name LUIS A VALLS MD
Location Address4212 NE BROADWAY ST PORTLAND, OR 97213
Location Phone(503) 249-8787
Mailing Address4212 NE BROADWAY ST PORTLAND, OR 97213
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date11-29-2006
Last Update Date10-28-2010

An internist like Luis A Valls Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Luis Valls is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 31, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD 17313
License StateOR
Taxonomy DescriptionA 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

LUIS A VALLS MD
4212 NE BROADWAY ST
PORTLAND, OR
ZIP 97213
Phone: (503) 249-8787

Get Directions


Mailing Address

LUIS A VALLS MD
4212 NE BROADWAY ST
PORTLAND, OR
ZIP 97213
Phone: (503) 249-8787


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 20
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 0
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 20
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 87.6
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 31
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 310Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 132Hemoglobin A1C level (HCPCS:83036)
  • 69Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS:G0328)
  • 57Administration of pneumococcal vaccine (HCPCS:G0009)
  • 57Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 53Administration of influenza virus vaccine (HCPCS:G0008)
  • 36X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 28Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 13Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
18055-4MEDICAID (05)OR
E95149MEDICARE UPIN (02)OR
011WCBBWTMEDICARE ID-TYPE UNSPECIFIED (04)OR

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013084573
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023088514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 8 + 5 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1013084573 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891871356 KURT C KEMMERER PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1538235437MR. DENNIS D ASBY M.D.
Individual
Internal Medicine4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 331-7657
1902972813MR. JOHN E BAUER M.D.
Individual
Internal Medicine4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1942376850MR. CHARLES L DARBY MD
Individual
Internal Medicine4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1437225257MS. JANIS L HOWATT MD
Individual
Internal Medicine4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1568539195 DOUGLAS E RENOUARD MD
Individual
Internal Medicine4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1558438028 HILARY R BASCO MD
Individual
Pediatrics4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1003983487 GEORGE W BENGTSON MD
Individual
Pediatrics4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1255408647 KRISTAN C COLLINS MD
Individual
Pediatrics4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1932276334 JAMES M COUGHLIN MD
Individual
Pediatrics4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1447327846 JUNE M DESIMONE MD
Individual
Pediatrics4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1518034917 ROBERT HEFFERNAN MD
Individual
Pediatrics4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1699842005 ANNE F VESTERGAARD MD
Individual
Pediatrics4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1053488718MRS. MARJORIE J HRBEK MD
Individual
Internal Medicine4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1194892711MR. JAMES C JOHNSON MD
Individual
Internal Medicine4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1477620029 CLYTIE S RIMBERG MD
Individual
Dermatology4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1417024902 LAUREL L SIMON MD
Individual
Internal Medicine4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1407916513MRS. ANNE M HIRSCH MD
Individual
Internal Medicine4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1902961907 CHARLES M WOOD MD
Individual
Internal Medicine4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787
1073670832 MARY BAKER MD
Individual
Pediatrics4212 NE BROADWAY ST
PORTLAND, OR 97213
(503) 249-8787

Frequently Asked Questions

What is Luis Valls MD NPI number?

The NPI number assigned to Luis Valls MD is 1013084573, registered as an "individual" on November 29, 2006

Where is Luis Valls MD located?

The provider is located at 4212 Ne Broadway St Portland, Or 97213 and the phone number is (503) 249-8787

Which is Luis Valls MD specialty?

The provider's speciality is Internal Medicine

What insurance does Luis Valls MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Luis Valls MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Luis Valls MD?

Medicare beneficiaries should expect a typical cost of $138.14 with an average copayment of $34.53 for new patient appointments. Established patients should expect a typical charge of $107.31 and an average copayment of 26.82. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Luis Valls MD?

The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Hemoglobin A1C level, Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous, Administration of pneumococcal vaccine, Pneumococcal vaccine for injection into muscle, Administration of influenza virus vaccine, X-ray of chest, 2 views, front and side, Routine EKG using at least 12 leads including interpretation and report and Aspiration and/or injection of large joint or joint capsule.

How do I update my NPI information?

The NPI record of Luis Valls MD was last updated on November 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]