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VALERIE MARIE AVALLONE FNP-C
NPI 1093472458
Nurse Practitioner - Family in Cumming, GA

Active since November 19, 2021PECOS Enrolled
80.89/100
CMS Quality Rating
4150 DEP BILL CANTRELL MEMORIAL RD STE 290, CUMMING, GA 30040(404) 446-0600(404) 446-0601 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Valerie Marie Avallone Fnp-c NPPES

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

VALERIE MARIE AVALLONE FNP-C (NPI 1093472458) is an individual family provider in Cumming, Georgia, licensed in Georgia (RN306499) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093472458
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVALERIE MARIE AVALLONECredential: FNP-C
Location Address4150 DEP BILL CANTRELL MEMORIAL RD STE 290Cumming, GA 30040-3002
Mailing Address4150 Dep Bill Cantrell Memorial Rd Ste 290Cumming, GA 30040-3002 · (404) 446-0600 · Fax (404) 446-0601
Phone(404) 446-0600
Fax(404) 446-0601
Sole ProprietorYes
Enumeration DateNovember 19, 2021
NPPES CertifiedNovember 19, 2021
✔ NPI 1093472458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN306499
4150 DEP BILL CANTRELL MEMORIAL RD STE 290, Cumming, GA 30040
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Valerie Marie Avallone Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.
99 services82 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.
93 services76 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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

80.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.86
Improvement Activities40
Cost43.15

Other Providers at the Same Location NPPES

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

JENNY KIM
Physician Assistant (Medical)
4150 DEP BILL CANTRELL MEMORIAL RD STE 290
CUMMING, GA 30040
Forsyth County (404) 446-0600

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 Valerie Avallone's NPI number?

The NPI number for Valerie Avallone is 1093472458. It was assigned to this individual provider in the NPPES registry on November 19, 2021.

Where is Valerie Avallone located?

Valerie Avallone practices at 4150 Dep Bill Cantrell Memorial Rd Ste 290, Cumming, GA 30040. The listed phone number is (404) 446-0600.

What is Valerie Avallone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Valerie Avallone enrolled in Medicare?

Yes. Valerie Avallone is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Valerie Avallone was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.