DR. MARCOS D VALDEZ MD
NPI 1043874324
Family Medicine in Price, UT

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment
377 N FAIRGROUNDS RD, PRICE, UT 84501(435) 613-2200 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2022, Apr 23, 2019 (2 updates tracked since 2019).

About Dr. Marcos D Valdez Md NPPES

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

DR. MARCOS D VALDEZ MD (NPI 1043874324) is an individual family medicine provider in Price, Utah, licensed in Utah (12187373-1205) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains a secondary practice location in Huntington.

NPPES Registry Identity

NPI1043874324
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARCOS D VALDEZCredential: MD
Location Address377 N FAIRGROUNDS RDPrice, UT 84501-4241
Mailing AddressPo Box 1437Price, UT 84501-1437 · (435) 613-2200 · Fax (435) 613-2201
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2019
Enumeration DateApril 23, 2019
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
NPI 1043874324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 12187373-1205
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.

377 N FAIRGROUNDS RD, Price, UT 84501

Secondary Practice Location 1

Location 1367 N Main StHuntington, UT 84528-5512 · Phone (435) 613-2200 · Fax (435) 613-2201

Accepted 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. Marcos D Valdez 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 ID5294069431
PECOS Enrollment IDI20220526001099
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 29

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 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.
806 services416 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.
537 services355 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
253 services253 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
160 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
118 services47 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.
116 services90 patients

Hospital Affiliations CMS Care Compare 2

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Castleview Hospital

Acute Care Hospitals · Price, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460011
Location300 North Hospital DrivePrice, UT 84501 · Carbon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84501 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers20 claims20 services$115.97 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$31.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Registered Nurse (Diabetes Educator)
377 N FAIRGROUNDS RD
PRICE, UT 84501
Physician Assistant (Medical)
377 N FAIRGROUNDS RD
PRICE, UT 84501
Nurse Practitioner (Family)
377 N FAIRGROUNDS RD
PRICE, UT 84501
Family Medicine
377 N FAIRGROUNDS RD
PRICE, UT 84501
Nurse Practitioner (Family)
377 N FAIRGROUNDS RD
PRICE, UT 84501
Orthopaedic Surgery (Sports Medicine)
377 N FAIRGROUNDS RD
PRICE, UT 84501

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 Marcos Valdez's NPI number?

The NPI number for Marcos Valdez is 1043874324. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Marcos Valdez located?

Marcos Valdez practices at 377 N Fairgrounds Rd, Price, UT 84501. The listed phone number is (435) 613-2200.

What is Marcos Valdez's specialty?

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

Is Marcos Valdez enrolled in Medicare?

Yes. Marcos Valdez 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 Marcos Valdez accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Marcos Valdez 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 Marcos Valdez affiliated with any hospitals?

According to CMS data, Marcos Valdez is affiliated with Utah Valley Hospital and Castleview Hospital.

When was this NPI record last updated?

The NPPES record for Marcos Valdez was last updated on August 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.