MARTHA MARIA VALDIVIA MD
NPI 1083646970
Internal Medicine in New York, NY

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
629 W 185TH ST, NEW YORK, NY 10033(212) 928-3900 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Martha Maria Valdivia Md NPPES

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

MARTHA MARIA VALDIVIA MD (NPI 1083646970) is an individual internal medicine provider in New York, New York, licensed in New York (198167) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1083646970
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARTHA MARIA VALDIVIACredential: MD
Location Address629 W 185TH STNew York, NY 10033-3102
Mailing Address8817 5th AveNorth Bergen, NJ 07047-5229 · (201) 453-0659
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083646970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 198167
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

629 W 185TH ST, New York, NY 10033

Other Identifiers 2

Medicare UPIN043401NY
Medicaid02734265NY

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

Martha Maria 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 ID3274549720
PECOS Enrollment IDI20060221000859
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 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.

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.
50 services34 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
29 services29 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.
24 services24 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
19 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10033 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%158 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%184 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers14 claims32 services$5.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims18 services$0.65 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 20

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

Physician Assistant
629 W 185TH ST
NEW YORK, NY 10033
Pediatrics (Adolescent Medicine)
629 W 185TH ST
NEW YORK, NY 10033
Psychologist (Clinical)
629 W 185TH ST
NEW YORK, NY 10033
Psychiatry & Neurology (Psychiatry)
629 W 185TH ST, SUITE 3
NEW YORK, NY 10033
Nurse Practitioner (Psychiatric/Mental Health)
629 W 185TH ST
NEW YORK, NY 10033
Dentist (Pediatric Dentistry)
629 W 185TH ST, 4TH FLOOR
NEW YORK, NY 10033
Specialist
629 W 185TH ST, BSMT
NEW YORK, NY 10033
Durable Medical Equipment & Medical Supplies (Customized Equipment)
629 W 185TH ST, 4TH FLOOR
NEW YORK, NY 10033

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 Martha Valdivia's NPI number?

The NPI number for Martha Valdivia is 1083646970. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Martha Valdivia located?

Martha Valdivia practices at 629 W 185th St, New York, NY 10033. The listed phone number is (212) 928-3900.

What is Martha Valdivia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Martha Valdivia enrolled in Medicare?

Yes. Martha 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.

When was this NPI record last updated?

The NPPES record for Martha Valdivia was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.