CLAUDE-LYNE VALCIN M.D.
NPI 1144459876
Internal Medicine in Miami, FL

Q: What is Claude-lyne Valcin's NPI number?

The NPI number for Claude-lyne Valcin is 1144459876. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Q: What is Claude-lyne Valcin's specialty?

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

Active since July 02, 2009PECOS EnrolledAccepts Medicare Assignment

1500 NW 12TH AVE, 600A, MIAMI, FL 33136(305) 585-8019 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2026, Jul 3, 2023 (2 updates tracked since 2023).

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About Claude-lyne Valcin M.d. NPPES

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

CLAUDE-LYNE VALCIN M.D. (NPI 1144459876) is an individual internal medicine provider in Miami, Florida, licensed in Massachusetts (273364) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1144459876

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameCLAUDE-LYNE VALCINCredential: M.D.

Location Address1500 NW 12TH AVE, 600AMiami, FL 33136-1051

Mailing Address1500 Nw 12th Ave, 600aMiami, FL 33136-1051

Phone(305) 585-8019

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 2, 2009

Last NPPES UpdateMay 5, 20262 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1144459876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MA · 273364✔ Licensed in FL · ME115127

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.

1500 NW 12TH AVE, Miami, FL 33136

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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

Claude-lyne Valcin 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 ID5294972238

PECOS Enrollment IDI20130510000059

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

2,199 services313 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

240 services207 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

97 services58 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

76 services73 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

23 services17 patients

Hospital Affiliations CMS Care Compare

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220100

Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

75%370 patients3/55-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.

Other Providers at the Same Location NPPES 17

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

DR. MARGARETH LAROSE PIERRE PHARMACIST

Pharmacist (Pharmacotherapy)

1500 NW 12TH AVE, SUITE # 1126
MIAMI, FL 33136

Miami-Dade County (305) 325-2675

ROSS FREDERICK GOLDBERG MD

Surgery

1500 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-6081

DR. SHAUN CARSTEN CORBETT M.D.

Physical Medicine & Rehabilitation

1500 NW 12TH AVE, JMT 14TH 1409A WEST BLDG (D461)
MIAMI, FL 33136

Miami-Dade County (305) 243-3654

DR. CYNTHIA LEVY MD

Internal Medicine (Hepatology)

1500 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-5757

AUDENE GARRISON M.D.

Internal Medicine (Infectious Disease)

1500 NW 12TH AVE, SUITE 1112
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

DR. CARMINE GIOVANNI NUDO MD

Internal Medicine (Hepatology)

1500 NW 12TH AVE, 1101
MIAMI, FL 33136

Miami-Dade County (305) 243-5787

SIJI XAVIER

Registered Nurse

1500 NW 12TH AVE, APT#1224
MIAMI, FL 33136

Miami-Dade County (305) 776-1892

DIANE SABOGAL ARNP

Nurse Practitioner (Family)

1500 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-0302

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 Claude-lyne Valcin's NPI number?

The NPI number for Claude-lyne Valcin is 1144459876. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Claude-lyne Valcin located?

Claude-lyne Valcin practices at 1500 NW 12th Ave 600A, Miami, FL 33136. The listed phone number is (305) 585-8019.

What is Claude-lyne Valcin's specialty?

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

Is Claude-lyne Valcin enrolled in Medicare?

Yes. Claude-lyne Valcin 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.

What insurance does Claude-lyne Valcin accept?

Health plans from WellSense Health Plan list Claude-lyne Valcin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Claude-lyne Valcin affiliated with any hospitals?

According to CMS data, Claude-lyne Valcin is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Claude-lyne Valcin was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.