LIDIA VALJAN
NPI 1144690488
Nurse Practitioner - Primary Care in East Setauket, NY

Active since September 29, 2015PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
205 N BELLE MEAD RD, EAST SETAUKET, NY 11733(631) 444-4630 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2021, Sep 29, 2015 (2 updates tracked since 2015).

About Lidia Valjan NPPES

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

LIDIA VALJAN (NPI 1144690488) is an individual primary care provider in East Setauket, New York, licensed in New York (F307512) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1144690488
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLIDIA VALJAN
Location Address205 N BELLE MEAD RDEast Setauket, NY 11733-3483
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-4630
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 29, 2015
Last NPPES UpdateJanuary 4, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
NPI 1144690488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in NY · F307512
205 N BELLE MEAD RD, East Setauket, NY 11733

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

Lidia Valjan 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 ID1456641919
PECOS Enrollment IDI20160613000910
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.

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.
396 services341 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
48 services47 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.
30 services30 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
29 services29 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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 claims41 services$5.52 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims17 services$1.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$67.90 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$36.12 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.

Family Medicine (Geriatric Medicine)
205 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Internal Medicine
205 N BELLE MEAD RD
SETAUKET, NY 11733
Internal Medicine
205 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Nurse Practitioner (Adult Health)
205 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Internal Medicine
205 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Internal Medicine
205 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Internal Medicine
205 N BELLE MEAD RD, STONY BROOK PRIMARY CARE CENTER
EAST SETAUKET, NY 11733
Internal Medicine
205 N BELLE MEAD RD
EAST SETAUKET, NY 11733

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 Lidia Valjan's NPI number?

The NPI number for Lidia Valjan is 1144690488. It was assigned to this individual provider in the NPPES registry on September 29, 2015.

Where is Lidia Valjan located?

Lidia Valjan practices at 205 N Belle Mead Rd, East Setauket, NY 11733. The listed phone number is (631) 444-4630.

What is Lidia Valjan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Lidia Valjan enrolled in Medicare?

Yes. Lidia Valjan 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 Lidia Valjan affiliated with any hospitals?

According to CMS data, Lidia Valjan is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Lidia Valjan was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.