VALERIA CRISTINA BALDIVIESO M.D.
NPI 1225422074
Family Medicine - Geriatric Medicine in Winter Park, FL

Q: What is Valeria Baldivieso's NPI number?

The NPI number for Valeria Baldivieso is 1225422074. It was assigned to this individual provider in the NPPES registry on March 18, 2015. The provider is also known as Valeria Cristina Baldivieso Hurtado M.D..

Q: What is Valeria Baldivieso's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since March 18, 2015PECOS EnrolledAccepts Medicare Assignment

78.01/100

CMS Quality Rating

1573 W FAIRBANKS AVE STE 210, WINTER PARK, FL 32789(407) 303-6729(407) 628-2037 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2021, Mar 12, 2021, Jan 13, 2020 and 1 more (4 updates tracked since 2019).

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About Valeria Cristina Baldivieso M.d. NPPES

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

VALERIA CRISTINA BALDIVIESO M.D. (NPI 1225422074) is an individual geriatric medicine provider in Winter Park, Florida, licensed in Florida (ME134252) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1225422074

Entity TypeIndividualFemale

Primary Taxonomy207QG0300X

Provider Legal NameVALERIA CRISTINA BALDIVIESOCredential: M.D.

Location Address1573 W FAIRBANKS AVE STE 210Winter Park, FL 32789-4679

Mailing Address1573 W Fairbanks Ave Ste 210Winter Park, FL 32789-4679 · (407) 303-6729 · Fax (407) 628-2037

Phone(407) 303-6729

Fax(407) 628-2037

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMarch 18, 2015

Last NPPES UpdateNovember 3, 20214 updates tracked since enumeration

NPPES CertifiedNovember 3, 2021

✔ NPI 1225422074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in FL · ME134252

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X · License ME134252 (FL)

1573 W FAIRBANKS AVE STE 210, Winter Park, FL 32789

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Other Names 1

Other Name (5)Valeria Cristina Baldivieso Hurtado M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. 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

Valeria Cristina Baldivieso 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 ID7517294473

PECOS Enrollment IDI20190815000324

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 2

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

368 services177 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

281 services187 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100057

Location1000 Waterman WayTavares, FL 32778 · Lake County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32789 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

78.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

57.51

Promoting Interoperability

100

Improvement Activities

Cost

69.18

Other Providers at the Same Location NPPES 12

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

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