KRISTIAN J ROSARIO VALENCIA MD
NPI 1073176962
Hospitalist in Melbourne, FL

Q: What is Kristian Rosario Valencia's NPI number?

The NPI number for Kristian Rosario Valencia is 1073176962. It was assigned to this individual provider in the NPPES registry on April 17, 2019. The provider is also known as Kristian J Rosario MD.

Q: What is Kristian Rosario Valencia's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since April 17, 2019PECOS EnrolledAccepts Medicare Assignment

85.38/100

CMS Quality Rating

1350 HICKORY ST, MELBOURNE, FL 32901(321) 434-1771(321) 434-1775 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2023, Jun 6, 2023, May 22, 2023 and 2 more (5 updates tracked since 2019).

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About Kristian J Rosario Valencia Md NPPES

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

KRISTIAN J ROSARIO VALENCIA MD (NPI 1073176962) is an individual hospitalist provider in Melbourne, Florida, licensed in Florida (ME161712) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073176962

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameKRISTIAN J ROSARIO VALENCIACredential: MD

Location Address1350 HICKORY STMelbourne, FL 32901-3224

Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306

Phone(321) 434-1771

Fax(321) 434-1775

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 17, 2019

Last NPPES UpdateOctober 9, 20235 updates tracked since enumeration

NPPES CertifiedOctober 9, 2023

✔ NPI 1073176962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in FL · ME161712

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME161712 (FL)

1350 HICKORY ST, Melbourne, FL 32901

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Other Names 1

Other Name (5)Kristian J Rosario Md

Other Identifiers 2

OtherQX503FL · Hfmg Ma

Medicaid117959400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Kristian J Rosario Valencia 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 ID4789916701

PECOS Enrollment IDI20230605002909

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.

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.

391 services196 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

367 services161 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

207 services204 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

26 services26 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100019

Location1350 S Hickory StMelbourne, FL 32901 · Brevard County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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.

85.38/100

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

Scored through an Alternative Payment Model

Quality

81.65

Promoting Interoperability

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.

TOMOR SEDALIU

Hospitalist