DR. JORGE RICARDO VALENCIA M.D.
NPI 1033104013
Family Medicine in Bellaire, TX

Q: What is Jorge Valencia's NPI number?

The NPI number for Jorge Valencia is 1033104013. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Q: What is Jorge Valencia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jorge Valencia was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 September 15, 2005PECOS EnrolledAccepts Medicare Assignment

5420 BELLAIRE BLVD STE A, BELLAIRE, TX 77401(713) 663-6322(713) 663-6944 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2025, Jun 19, 2024 (2 updates tracked since 2024).

On this page

About Dr. Jorge Ricardo Valencia M.d. NPPES

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

DR. JORGE RICARDO VALENCIA M.D. (NPI 1033104013) is an individual family medicine provider in Bellaire, Texas, licensed in Texas (K8546) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Sweeny Community Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1033104013

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JORGE RICARDO VALENCIACredential: M.D.

Location Address5420 BELLAIRE BLVD STE ABellaire, TX 77401-3957

Mailing Address5420 Bellaire Blvd Ste ABellaire, TX 77401-3957 · (713) 663-6322 · Fax (713) 663-6944

Phone(713) 663-6322

Fax(713) 663-6944

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateSeptember 15, 2005

Last NPPES UpdateJuly 3, 20252 updates tracked since enumeration

NPPES CertifiedJuly 3, 2025

✔ NPI 1033104013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · K8546

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5420 BELLAIRE BLVD STE A, Bellaire, TX 77401

Open in Google Maps ↗

Other Identifiers 2

Other0049HUTX · Bcbs Of Tex Provider Id

Medicaid110756702TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and more.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

Dr. Jorge Ricardo Valencia 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 ID2961404272

PECOS Enrollment IDI20070215000049

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 12

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.

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.

132 services103 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

63 services31 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

51 services51 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

32 services31 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

24 services22 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

21 services21 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

20 services18 patients

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

Albuterol and ipratropium bromide are medications used to help you breathe more easily. They work by relaxing your airways and increasing airflow to your lungs. These FDA-approved drugs are administered through a device called DME (Durable Medical Equipment) which ensures accurate dosage.

19 services19 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

18 services16 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.

17 services17 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

16 services16 patients

Evaluation of use of breathing device 94664

The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Sweeny Community Hospital

Critical Access Hospitals · Sweeny, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451311

Location305 North MckinneySweeny, TX 77480 · Brazoria County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77401 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

Other Providers at the Same Location NPPES 4

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

BEL PROFESSIONAL MEDICAL GROUP

Internal Medicine

5420 BELLAIRE BLVD STE A
BELLAIRE, TX 77401

Harris County (713) 663-6322

VICTORIA GACAD FAIRES FNP-C

Nurse Practitioner (Family)

5420 BELLAIRE BLVD STE A
BELLAIRE, TX 77401

Harris County (713) 663-6322

MARISA RIVERA LANUZA MD

General Practice

5420 BELLAIRE BLVD STE A
BELLAIRE, TX 77401

Harris County (713) 663-6322

PRE MED CARE CLINIC, LLC

Family Medicine

5420 BELLAIRE BLVD STE A
BELLAIRE, TX 77401

Harris County (713) 663-6322

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 Jorge Valencia's NPI number?

The NPI number for Jorge Valencia is 1033104013. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Jorge Valencia located?

Jorge Valencia practices at 5420 Bellaire Blvd Ste A, Bellaire, TX 77401. The listed phone number is (713) 663-6322.

What is Jorge Valencia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jorge Valencia enrolled in Medicare?

Yes. Jorge Valencia 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 Jorge Valencia accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and WellPoint list Jorge Valencia 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 Jorge Valencia affiliated with any hospitals?

According to CMS data, Jorge Valencia is affiliated with Sweeny Community Hospital.

When was this NPI record last updated?

The NPPES record for Jorge Valencia was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.