RAUL HIEDRA VALARINO MD
NPI 1033605787
Hospitalist in Wilkes Barre, PA
About Raul Hiedra Valarino Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAUL HIEDRA VALARINO MD (NPI 1033605787) is an individual hospitalist provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD483128) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Geisinger Wyoming Valley Medical Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Raul Hiedra Valarino Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Raul Hiedra Valarino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilkes Barre, PA 18711
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Baltimore, MD 21239
- Reassigned Medicare billing, Maryland enrollment
- 2,602 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger Wyoming Valley Medical Center
Acute Care Hospitals · Wilkes Barre, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WILKES BARRE, PA 18711
WILKES BARRE, PA 18711
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 Raul Hiedra Valarino's NPI number?
The NPI number for Raul Hiedra Valarino is 1033605787. It was assigned to this individual provider in the NPPES registry on July 5, 2018. The provider is also known as Raul Hiedra.
Where is Raul Hiedra Valarino located?
Raul Hiedra Valarino practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-7399.
What is Raul Hiedra Valarino's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Raul Hiedra Valarino enrolled in Medicare?
Yes. Raul Hiedra Valarino 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.
Which organizations bill Medicare for Raul Hiedra Valarino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raul Hiedra Valarino reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Wilkes Barre, PA) and Medstar Medical Group II LLC (Baltimore, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raul Hiedra Valarino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Raul Hiedra Valarino affiliated with any hospitals?
According to CMS data, Raul Hiedra Valarino is affiliated with Geisinger Wyoming Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Raul Hiedra Valarino was last updated on October 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.
# Raul Hiedra Valarino, MD · NPI 1033605787
Hospitalist physician in Wilkes Barre, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 5, 2018.
## Identity
- **NPI:** 1033605787 (Entity type: Individual)
- **Enumerated:** July 5, 2018
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** MD483128 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711-0001
- **Phone:** (570) 808-7399 · **Fax:** (570) 808-5942
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Geisinger Clinic (NPI 1366492902, Wilkes Barre, PA); Medstar Medical Group II LLC (NPI 1184046187, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033605787) · Data from the CMS NPPES public registry.