FRANCISCO GALLEGO VALDERRAMA MD
NPI 1275037301
Hospitalist in Newark, NJ

Active since March 22, 2018PECOS EnrolledAccepts Medicare Assignment
201 LYONS AVE, NEWARK, NJ 07112(973) 926-7425 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2026, Feb 10, 2022, Mar 22, 2018 (3 updates tracked since 2018).

About Francisco Gallego Valderrama Md NPPES

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

FRANCISCO GALLEGO VALDERRAMA MD (NPI 1275037301) is an individual hospitalist provider in Newark, New Jersey, licensed in Indiana (01098423A) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1275037301
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameFRANCISCO GALLEGO VALDERRAMACredential: MD
Location Address201 LYONS AVENewark, NJ 07112-2027
Mailing Address3157 31st St Apt 323Astoria, NY 11106-2787 · (917) 972-6690
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 22, 2018
Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
NPI 1275037301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IN · 01098423A
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 64428 (TN)
201 LYONS AVE, Newark, NJ 07112

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

Francisco Gallego Valderrama Md 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 ID3577957364
PECOS Enrollment IDI20231222001584, I20260204003394
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
99 services51 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
29 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Montefiore Mount Vernon Hospital

Acute Care Hospitals · Mount Vernon, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number330086
Location12 North 7th AvenueMount Vernon, NY 10550 · Westchester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112

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 Francisco Gallego Valderrama's NPI number?

The NPI number for Francisco Gallego Valderrama is 1275037301. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Francisco Gallego Valderrama located?

Francisco Gallego Valderrama practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7425.

What is Francisco Gallego Valderrama's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Francisco Gallego Valderrama enrolled in Medicare?

Yes. Francisco Gallego Valderrama 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.

Is Francisco Gallego Valderrama affiliated with any hospitals?

According to CMS data, Francisco Gallego Valderrama is affiliated with Union Hospital Inc and Montefiore Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Francisco Gallego Valderrama was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.