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DR. JUAN MARTIN VALDIVIA VALDIVIA MD
NPI 1043413412
Neurological Surgery in Tampa, FL

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment
2727 W. MARTIN LUTHER KING JR. BLVD, SUITE 460, TAMPA, FL 33607(813) 879-4328(813) 443-8152 Get Directions Write a Review

NPPES record last updated: October 22, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Juan Martin Valdivia Valdivia Md NPPES

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

DR. JUAN MARTIN VALDIVIA VALDIVIA MD (NPI 1043413412) is an individual neurological surgery provider in Tampa, Florida, licensed in Florida (ME122350) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1043413412
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JUAN MARTIN VALDIVIA VALDIVIACredential: MD
Location Address2727 W. MARTIN LUTHER KING JR. BLVD, SUITE 460Tampa, FL 33607-6383
Mailing AddressPo Box 10744Clearwater, FL 33757-8744 · (727) 532-0002 · Fax (727) 266-4928
Phone(813) 879-4328
Fax(813) 443-8152
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 6, 2007
Last NPPES UpdateOctober 22, 2015
✔ NPI 1043413412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in FL · ME122350✔ Licensed in AZ · PG 76521✔ Licensed in MI · 4301093755
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
2727 W. MARTIN LUTHER KING JR. BLVD, Tampa, FL 33607
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Other Identifiers 2

Medicare PINIB535ZFL
Medicare PINIB535YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. Juan Martin Valdivia Valdivia 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.

PECOS PAC ID143415448
PECOS Enrollment IDI20150227000945
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 5

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.
58 services44 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
25 services11 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.
22 services19 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.
16 services16 patients
Computer-assisted spinal procedure 61783
A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33607 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Juan Valdivia Valdivia's NPI number?

The NPI number for Juan Valdivia Valdivia is 1043413412. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Juan Valdivia Valdivia located?

Juan Valdivia Valdivia practices at 2727 W. Martin Luther King Jr. Blvd Suite 460, Tampa, FL 33607. The listed phone number is (813) 879-4328.

What is Juan Valdivia Valdivia's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Juan Valdivia Valdivia enrolled in Medicare?

Yes. Juan Valdivia Valdivia 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 Juan Valdivia Valdivia accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Juan Valdivia Valdivia 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 Juan Valdivia Valdivia affiliated with any hospitals?

According to CMS data, Juan Valdivia Valdivia is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Juan Valdivia Valdivia was last updated on October 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.