DANIEL PESEK VALACH M.D.
NPI 1235139007
Internal Medicine - Nephrology in Mountain Home, AR

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment
14.79/100
CMS Quality Rating
1409 HIGHWAY 201 N, SUITE 1, MOUNTAIN HOME, AR 72653(870) 508-5010(870) 508-5020 Get Directions Write a Review

NPPES record last updated: July 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Pesek Valach M.d. NPPES

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

DANIEL PESEK VALACH M.D. (NPI 1235139007) is an individual nephrology provider in Mountain Home, Arkansas, licensed in Arkansas (E3504) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1235139007
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDANIEL PESEK VALACHCredential: M.D.
Location Address1409 HIGHWAY 201 N, SUITE 1Mountain Home, AR 72653-2953
Mailing Address1409 Highway 201 N, Suite 1Mountain Home, AR 72653-2425 · (870) 508-5010 · Fax (870) 508-5020
Fax(870) 508-5020
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 22, 2005
Last NPPES UpdateJuly 3, 2013
NPI 1235139007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in AR · E3504
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1409 HIGHWAY 201 N, Mountain Home, AR 72653

Other Identifiers 14

Other03070018700AR · Qual Choice
Medicaid149115001AR
Medicare UPINH19484
Medicaid0574152IA
Other22179MO · Cox Health Systems
Other2294015Cigna
Medicaid208254300MO
Medicare PIN5M411AR
Other655772MO · Healthlink
Other5M511AR · Arkansas Blue Cross Blue Shield
Medicare PIN390008650GA
Other72653 A002Tricare
Other7126443Aetna
Other2115804First Health

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

Daniel Pesek Valach 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 ID8921901547
PECOS Enrollment IDI20110125000773
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
519 services115 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.
406 services107 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
219 services52 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
127 services77 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
126 services103 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
88 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72653 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

14.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost49.3

Referred Medical Equipment & Supplies CMS DME claims 17

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
3 suppliers15 claims61 services$5.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims27 services$0.86 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims44 services$3.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers25 claims26 services$20.41 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$48.51 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier12 claims12 services$18.73 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

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

Internal Medicine (Nephrology)
1409 HIGHWAY 201 N, SUITE 1
MOUNTAIN HOME, AR 72653

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 Daniel Valach's NPI number?

The NPI number for Daniel Valach is 1235139007. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Daniel Valach located?

Daniel Valach practices at 1409 Highway 201 N Suite 1, Mountain Home, AR 72653. The listed phone number is (870) 508-5010.

What is Daniel Valach's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Daniel Valach enrolled in Medicare?

Yes. Daniel Valach 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 Daniel Valach accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Daniel Valach 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 Daniel Valach was last updated on July 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.