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CARLA V. VALENZUELA M.D.
NPI 1104207109
Otolaryngology in Saint Louis, MO

Active since June 15, 2015PECOS EnrolledAccepts Medicare Assignment
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110(314) 362-5000 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carla V. Valenzuela M.d. NPPES

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

CARLA V. VALENZUELA M.D. (NPI 1104207109) is an individual otolaryngology provider in Saint Louis, Missouri, licensed in Missouri (2015016420) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Vanderbilt University School Of Medicine (2015).

NPPES Registry Identity

NPI1104207109
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameCARLA V. VALENZUELACredential: M.D.
Location Address1 BARNES JEWISH HOSPITAL PLZSaint Louis, MO 63110-1003
Mailing Address660 S Euclid Ave, Department Of Otolaryngology, Campus Box 8115Saint Louis, MO 63110-1010 · (314) 362-5000
Phone(314) 362-5000
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2015
Enumeration DateJune 15, 2015
✔ NPI 1104207109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MO · 2015016420
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO 63110
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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 and accepts Medicare assignment

Carla V. Valenzuela M.d. 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 ID9335453158
PECOS Enrollment IDI20241011000467
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 2

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.

Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
14 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. MARGARET LEIGHTON MCNAIRY MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
ANNA RABINOV ANNA RABINOV
Obstetrics & Gynecology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
MRS. MICHELLE MARIE BLOOM ACNP
Nurse Practitioner (Acute Care)
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980
DR. FARIS ADAM BAKEER MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. REHAN RAIS MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. RANDY OLIVIER LAINE MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. BRADLEY SETH KUSHNER MD
Surgery
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG VASCULAR
SAINT LOUIS, MO 63110
St. Louis City (314) 273-7373
MS. KELSEY ELISE FOGUS CRNA
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980

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 Carla Valenzuela's NPI number?

The NPI number for Carla Valenzuela is 1104207109. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Carla Valenzuela located?

Carla Valenzuela practices at 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110. The listed phone number is (314) 362-5000.

What is Carla Valenzuela's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Carla Valenzuela enrolled in Medicare?

Yes. Carla Valenzuela 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.

Is Carla Valenzuela affiliated with any hospitals?

According to CMS data, Carla Valenzuela is affiliated with Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Carla Valenzuela was last updated on June 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.