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ALLAN VALENCIA NP-C
NPI 1194310540
Nurse Practitioner - Family in Houston, TX

Active since March 08, 2021PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
925 GESSNER RD STE 540, HOUSTON, TX 77024(713) 486-2400 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Allan Valencia Np-c NPPES

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

ALLAN VALENCIA NP-C (NPI 1194310540) is an individual family provider in Houston, Texas, licensed in Texas (F09201585) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194310540
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameALLAN VALENCIACredential: NP-C
Location Address925 GESSNER RD STE 540Houston, TX 77024-2552
Mailing Address7009 Almeda Rd Apt 617Houston, TX 77054-2178 · (832) 236-4057
Phone(713) 486-2400
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1194310540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · F09201585
925 GESSNER RD STE 540, Houston, TX 77024
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Allan Valencia Np-c 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 ID9537578539
PECOS Enrollment IDI20210504000397
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 8

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.

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.
201 services134 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.
172 services123 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system 93288
An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.
64 services54 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
63 services56 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
24 services23 patients
Evaluation of cardiac rhythm monitor system 93291
The evaluation of a cardiac rhythm monitor system involves checking your heart's electrical activity. It's a non-invasive procedure that uses a device to record your heart's rhythm and rate. This helps identify any irregularities, ensuring your heart is functioning properly.
20 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77024 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 2

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

LAUREN TEZAK MS APRN AGACNP-BC
Nurse Practitioner (Acute Care)
925 GESSNER RD STE 540
HOUSTON, TX 77024
Harris County (713) 486-2400
SIDDHARTH S MUKERJI MD
Internal Medicine (Clinical Cardiac Electrophysiology)
925 GESSNER RD STE 540
HOUSTON, TX 77024
Harris County (713) 486-2400

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 Allan Valencia's NPI number?

The NPI number for Allan Valencia is 1194310540. It was assigned to this individual provider in the NPPES registry on March 8, 2021.

Where is Allan Valencia located?

Allan Valencia practices at 925 Gessner Rd Ste 540, Houston, TX 77024. The listed phone number is (713) 486-2400.

What is Allan Valencia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Allan Valencia enrolled in Medicare?

Yes. Allan Valencia 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 Allan Valencia accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Allan Valencia 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.

When was this NPI record last updated?

The NPPES record for Allan Valencia was last updated on March 8, 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.