1. Home
  2. Directory
  3. Mississippi
  4. Gulfport
  5. Family Medicine
  6. NPI Profile

DR. CARMENZA MARCELLA VALDERRAMA M.D.
NPI 1184205007
Family Medicine in Gulfport, MS

Active since April 21, 2021PECOS EnrolledAccepts Medicare Assignment
1202 BROAD AVENUE, GULFPORT, MS 39501(228) 822-9360(228) 822-9361 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 13, 2024, Jul 26, 2024, Jun 13, 2024 and 1 more (4 updates tracked since 2021).

About Dr. Carmenza Marcella Valderrama M.d. NPPES

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

DR. CARMENZA MARCELLA VALDERRAMA M.D. (NPI 1184205007) is an individual family medicine provider in Gulfport, Mississippi, licensed in Mississippi (33795) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1184205007
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARMENZA MARCELLA VALDERRAMACredential: M.D.
Location Address1202 BROAD AVENUEGulfport, MS 39501
Mailing Address1202 Broad AvenueGulfport, MS 39501 · (228) 822-9360 · Fax (228) 822-9361
Phone(228) 822-9360
Fax(228) 822-9361
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 21, 2021
Last NPPES UpdateSeptember 13, 20244 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
✔ NPI 1184205007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 33795
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1202 BROAD AVENUE, Gulfport, MS 39501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare.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

Dr. Carmenza Marcella Valderrama 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 ID5193113348
PECOS Enrollment IDI20240807004745
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 6

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 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.
102 services74 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
32 services11 patients
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.
20 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
17 services17 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250019
Location4500 13th StreetGulfport, MS 39502 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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 Carmenza Valderrama's NPI number?

The NPI number for Carmenza Valderrama is 1184205007. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Carmenza Valderrama located?

Carmenza Valderrama practices at 1202 Broad Avenue, Gulfport, MS 39501. The listed phone number is (228) 822-9360.

What is Carmenza Valderrama's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carmenza Valderrama enrolled in Medicare?

Yes. Carmenza Valderrama 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 Carmenza Valderrama accept?

Health plans from Blue Cross and Blue Shield of Alabama and Molina Healthcare list Carmenza Valderrama 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 Carmenza Valderrama affiliated with any hospitals?

According to CMS data, Carmenza Valderrama is affiliated with Memorial Hospital At Gulfport.

When was this NPI record last updated?

The NPPES record for Carmenza Valderrama was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.