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ERIKA VALENCIA PA-C
NPI 1245947530
Physician Assistant in Cypress, TX

Active since November 04, 2022PECOS EnrolledAccepts Medicare Assignment
85.88/100
CMS Quality Rating
15103 MASON RD STE C-4, CYPRESS, TX 77433(832) 678-8330 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2022, Nov 4, 2022 (2 updates tracked since 2022).

About Erika Valencia Pa-c NPPES

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

ERIKA VALENCIA PA-C (NPI 1245947530) is an individual physician assistant in Cypress, Texas and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245947530
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameERIKA VALENCIACredential: PA-C
Location Address15103 MASON RD STE C-4Cypress, TX 77433-6755
Mailing Address10740 N Gessner Rd Ste 310Houston, TX 77064-1240 · (281) 897-0416
Phone(832) 678-8330
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 4, 2022
Last NPPES UpdateDecember 20, 20222 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
✔ NPI 1245947530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
15103 MASON RD STE C-4, Cypress, TX 77433
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Erika Valencia Pa-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 ID6800265950
PECOS Enrollment IDI20221212001366
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 7

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.
391 services305 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
137 services120 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
61 services41 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.
58 services56 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
22 services21 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77433 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
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

85.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.42
Promoting Interoperability98
Improvement Activities40

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 Erika Valencia's NPI number?

The NPI number for Erika Valencia is 1245947530. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Where is Erika Valencia located?

Erika Valencia practices at 15103 Mason Rd Ste C-4, Cypress, TX 77433. The listed phone number is (832) 678-8330.

What is Erika Valencia's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Erika Valencia enrolled in Medicare?

Yes. Erika 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 Erika Valencia accept?

Health plans from UnitedHealthcare list Erika 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 Erika Valencia was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.