DR. LISA MARIE VALLE D.O.
NPI 1073509642
Obstetrics & Gynecology in Santa Monica, CA
- Individual
- Female
- Obstetrics & Gynecology
- PECOS Enrolled
- Opted-Out Medicare
About LISA VALLE
This page provides the complete NPI Profile along with additional information for Lisa Valle, a women's health care provider established in Santa Monica, California with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1073509642 assigned on September 2005. The practitioner's primary taxonomy code is 207V00000X with license number 20A8420 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1073509642 Verify this NPI
- Provider Name
- DR. LISA MARIE VALLE D.O.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1349 FRANKLIN ST SANTA MONICA, CA 90404
- Location Phone
- (424) 231-7116
- Location Fax
- (310) 496-2762
- Mailing Address
- 1112 MONTANA AVE STE 378 SANTA MONICA, CA 90403
- Mailing Phone
- (424) 231-7116
- Mailing Fax
- (310) 496-2762
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-20-2005
- Last Update Date
- 05-09-2020
- Code Navigator
Women's health care providers like Lisa Valle treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Lisa Valle opted out of Medicare effective on 09-01-2016 until 09-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 20A8420
- License State
- CA
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Medicare Participation & PECOS Enrollment Status
Lisa Valle is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 09-01-2016
Opt-Out End Date: 09-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 90404 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $142.39
- Minimum New Patient Price $62.96
- Maximum New Patient Price $187.6
- Average New Patient Copayment $35.59
- Minimum New Patient Copayment $15.74
- Maximum New Patient Copayment $46.9
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $77.96
- Minimum Established Patient Price $20.84
- Maximum Established Patient Price $153.61
- Average Established Patient Copayment $19.49
- Minimum Established Patient Copayment $5.21
- Maximum Established Patient Copayment $38.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073509642, enumerated as an "individual" on September 20, 2005.
The provider is located at 1349 FRANKLIN ST SANTA MONICA, CA 90404 and the phone number is (424) 231-7116.
Obstetrics & Gynecology with taxonomy code 207V00000X.
