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

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: July 19, 2026.

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

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
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

Accepted 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, I20180607000684
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 2024 & 2026 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.

Nurse Practitioner (Family)
1500 NW 12TH AVE, SUITE 711-E
MIAMI, FL 33136
Pharmacist (Pharmacotherapy)
1500 NW 12TH AVE, SUITE # 1126
MIAMI, FL 33136
Internal Medicine (Hepatology)
1500 NW 12TH AVE, 1101
MIAMI, FL 33136
Internal Medicine (Infectious Disease)
1500 NW 12TH AVE, SUITE 1112
MIAMI, FL 33136
Physical Medicine & Rehabilitation
1500 NW 12TH AVE, JMT 14TH 1409A WEST BLDG (D461)
MIAMI, FL 33136
Nurse Practitioner (Family)
1500 NW 12TH AVE, SUITE 1002
MIAMI, FL 33136
Registered Nurse
1500 NW 12TH AVE, APT#1224
MIAMI, FL 33136
Internal Medicine (Hepatology)
1500 NW 12TH AVE
MIAMI, FL 33136

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144459876, enumerated as an "individual" on July 02, 2009.

The provider is located at 1500 NW 12TH AVE 600A MIAMI, FL 33136 and the phone number is (305) 585-8019.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: WellSense Health Plan. Please consult your insurance carrier or call the provider to verify.

Claude-lyne Valcin is affiliated with: SOUTH SHORE HOSPITAL.