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KATHERINE BALCOM VALEK PA-C
NPI 1033530167
Physician Assistant - Medical in Edina, MN

Active since December 16, 2013PECOS EnrolledAccepts Medicare Assignment
82.34/100
CMS Quality Rating
6565 FRANCE AVE S, SUITE 375, EDINA, MN 55435(651) 312-1700(651) 312-1570 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2019, Mar 13, 2018 (2 updates tracked since 2018).

About Katherine Balcom Valek Pa-c NPPES

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

KATHERINE BALCOM VALEK PA-C (NPI 1033530167) is an individual medical provider in Edina, Minnesota, licensed in Minnesota (11478) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1033530167
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHERINE BALCOM VALEKCredential: PA-C
Location Address6565 FRANCE AVE S, SUITE 375Edina, MN 55435-2137
Mailing Address3433 Broadway St Ne Ste 115Minneapolis, MN 55413-1759 · (651) 312-1505 · Fax (612) 248-2944
Phone(651) 312-1700
Fax(651) 312-1570
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 16, 2013
Last NPPES UpdateDecember 5, 20192 updates tracked since enumeration
✔ NPI 1033530167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MN · 11478
6565 FRANCE AVE S, Edina, MN 55435
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Katherine Balcom Valek Pa-c 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 ID6103054242
PECOS Enrollment IDI20140116001234
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 6

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.

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.
48 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services32 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.
24 services24 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.
19 services19 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
18 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

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.

82.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.54
Promoting Interoperability100
Improvement Activities40
Cost38.17

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.

SUZIN CHO M.D.
Obstetrics & Gynecology
6565 FRANCE AVE S, SUITE 200
EDINA, MN 55435
Hennepin County (952) 920-2200
SHEILA ROSENTHAL GOODMAN M.D.
Obstetrics & Gynecology
6565 FRANCE AVE S, SUITE 200
EDINA, MN 55435
Hennepin County (952) 806-0011
JILL HARRIET RUSTERHOLZ M.D.
Specialist
6565 FRANCE AVE S, SUITE 200
EDINA, MN 55435
Hennepin County (952) 806-0011
ROBIN J OU-YANG M.D.
Obstetrics & Gynecology
6565 FRANCE AVE S, SUITE 200
EDINA, MN 55435
Hennepin County (952) 920-2200
ANN C LOWRY MD
Colon & Rectal Surgery
6565 FRANCE AVE S, SUITE 375
EDINA, MN 55435
Hennepin County (651) 312-1700
NORTHERN VEINS, P.A.
Internal Medicine (Cardiovascular Disease)
6565 FRANCE AVE S, SUITE 101
EDINA, MN 55435
Hennepin County (651) 842-3375
DEBRA L STEALEY APRN, CNM
Nurse Practitioner (Obstetrics & Gynecology)
6565 FRANCE AVE S, SUITE 200
EDINA, MN 55435
Hennepin County (952) 806-0011
REGINA NAMHEE CHO M.D.
Obstetrics & Gynecology
6565 FRANCE AVE S, SUITE 200
EDINA, MN 55435
Hennepin County (952) 920-2200

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 Katherine Valek's NPI number?

The NPI number for Katherine Valek is 1033530167. It was assigned to this individual provider in the NPPES registry on December 16, 2013.

Where is Katherine Valek located?

Katherine Valek practices at 6565 France Ave S Suite 375, Edina, MN 55435. The listed phone number is (651) 312-1700.

What is Katherine Valek's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Katherine Valek enrolled in Medicare?

Yes. Katherine Valek 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 Katherine Valek accept?

Health plans from Medica and Sanford Health Plan list Katherine Valek 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 Katherine Valek affiliated with any hospitals?

According to CMS data, Katherine Valek is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Katherine Valek was last updated on December 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.