DR. PEDRO PABLO GOMEZ VALENCIA M.D.
NPI 1033436233
Surgery in Bangor, ME

Q: What is Pedro Gomez Valencia's NPI number?

The NPI number for Pedro Gomez Valencia is 1033436233. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Q: What is Pedro Gomez Valencia's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 27, 2010PECOS EnrolledAccepts Medicare Assignment

98.44/100

CMS Quality Rating

360 BROADWAY, BANGOR, ME 04401(207) 907-3650(207) 907-3660 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2022, Dec 2, 2019, Jul 27, 2018 and 3 more (6 updates tracked since 2017).

On this page

About Dr. Pedro Pablo Gomez Valencia M.d. NPPES

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

DR. PEDRO PABLO GOMEZ VALENCIA M.D. (NPI 1033436233) is an individual surgery provider in Bangor, Maine, licensed in Maine (MD22037) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1033436233

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. PEDRO PABLO GOMEZ VALENCIACredential: M.D.

Location Address360 BROADWAYBangor, ME 04401-3979

Mailing AddressC/o St Marys Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (207) 777-8560 · Fax (207) 777-8800

Phone(207) 907-3650

Fax(207) 907-3660

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateApril 27, 2010

Last NPPES UpdateFebruary 3, 20226 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1033436233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in ME · MD22037

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

360 BROADWAY, Bangor, ME 04401

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Pedro Pablo Gomez 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 ID7810285053

PECOS Enrollment IDI20180731002521

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

44 services22 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.

33 services33 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.

28 services25 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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200001

Location360 BroadwayBangor, ME 04401 · Penobscot County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

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.

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.

98.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.88

Promoting Interoperability

100

Improvement Activities

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.

JAMES HILDEBRAND M.D.

Emergency Medicine

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-1703

THERESA ANNE YOUNG RN

Registered Nurse

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 525-4526

DANE HASSANI MD

Anesthesiology

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-1430

LIGA YUSVIRAZI MD

Emergency Medicine

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-3283

ROBERT SPENCER

Surgery

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-1000

DR. ALGIS VYDAS M.D.

Specialist

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 262-1938

DR. GANESHA SANTHYADKA MD

Internal Medicine (Pulmonary Disease)

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-1155

DR. AMINA S QAZI DO, PHARMD

Internal Medicine (Cardiovascular Disease)

360 BROADWAY
BANGOR, ME 04401

Penobscot County (207) 907-1770

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 Pedro Gomez Valencia's NPI number?

The NPI number for Pedro Gomez Valencia is 1033436233. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Where is Pedro Gomez Valencia located?

Pedro Gomez Valencia practices at 360 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-3650.

What is Pedro Gomez Valencia's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Pedro Gomez Valencia enrolled in Medicare?

Yes. Pedro Gomez 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 Pedro Gomez Valencia accept?

Health plans from Anthem Blue Cross and Blue Shield list Pedro Gomez 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 Pedro Gomez Valencia affiliated with any hospitals?

According to CMS data, Pedro Gomez Valencia is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Pedro Gomez Valencia was last updated on February 3, 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.