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LYDIA VALDERRAMA-KUNION M.D.
NPI 1255418786
Obstetrics & Gynecology in Plantation, FL

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
220 SW 84TH AVE STE 203, PLANTATION, FL 33324(954) 998-7760(954) 998-7761 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 5, 2023, Dec 3, 2019 (2 updates tracked since 2019).

About Lydia Valderrama-kunion M.d. NPPES

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

LYDIA VALDERRAMA-KUNION M.D. (NPI 1255418786) is an individual obstetrics & gynecology provider in Plantation, Florida, licensed in Florida (ME137571) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1979).

NPPES Registry Identity

NPI1255418786
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLYDIA VALDERRAMA-KUNIONCredential: M.D.
Location Address220 SW 84TH AVE STE 203Plantation, FL 33324-2755
Mailing Address220 Sw 84th Ave Ste 203Plantation, FL 33324-2755 · (954) 998-7760 · Fax (954) 998-7761
Phone(954) 998-7760
Fax(954) 998-7761
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1979
Enumeration DateNovember 1, 2006
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1255418786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME137571✔ Licensed in NY · 144500
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 144500 (NY)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 144500 (NY)
220 SW 84TH AVE STE 203, Plantation, FL 33324
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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).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lydia Valderrama-kunion 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 ID1254514151
PECOS Enrollment IDI20220928003795
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.

Medicare Billing Reassignment

Medicare enrollment records show Lydia Valderrama-kunion reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Woman Care, LLC
188 mi
Obstetrics & Gynecology
4010 W BOY SCOUT BLVD STE 500
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 802 clinicians in this Medicare group
NPI 1386823243 (561) 300-2410

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
50 services32 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
27 services27 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33324 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

e-Prescribing
95%199 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
87%261 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

FLORIDA WOMAN CARE, LLC
Obstetrics & Gynecology (Gynecology)
220 SW 84TH AVE STE 203
PLANTATION, FL 33324
Broward County (954) 998-7760

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 Lydia Valderrama-kunion's NPI number?

The NPI number for Lydia Valderrama-kunion is 1255418786. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Lydia Valderrama-kunion located?

Lydia Valderrama-kunion practices at 220 SW 84th Ave Ste 203, Plantation, FL 33324. The listed phone number is (954) 998-7760.

What is Lydia Valderrama-kunion's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lydia Valderrama-kunion enrolled in Medicare?

Yes. Lydia Valderrama-kunion 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.

Which organization bills Medicare for Lydia Valderrama-kunion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Valderrama-kunion reassigns Medicare benefits to Florida Woman Care, LLC (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lydia Valderrama-kunion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydia Valderrama-kunion accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lydia Valderrama-kunion 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 Lydia Valderrama-kunion was last updated on January 5, 2023. 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.