DR. JOSE LUIS VALENCIA M.D.
NPI 1285664755
Pathology - Anatomic Pathology & Clinical Pathology in Mcallen, TX

Q: What is Jose Valencia's NPI number?

The NPI number for Jose Valencia is 1285664755. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Jose Valencia's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Jose Valencia was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment

101 E RIDGE RD, LABORATORY DEPARTMENT, MCALLEN, TX 78503(956) 632-6405(956) 632-6641 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jose Luis Valencia M.d. NPPES

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

DR. JOSE LUIS VALENCIA M.D. (NPI 1285664755) is an individual anatomic pathology & clinical pathology provider in Mcallen, Texas, licensed in Texas (E4730) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Starr County Memorial Hospital, and is a graduate of Other (1973).

NPPES Registry Identity

NPI1285664755

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. JOSE LUIS VALENCIACredential: M.D.

Location Address101 E RIDGE RD, LABORATORY DEPARTMENTMcallen, TX 78503-1248

Mailing Address101 E Ridge Rd, Laboratory DepartmentMcallen, TX 78503-1248 · (956) 632-6405 · Fax (956) 632-6641

Phone(956) 632-6405

Fax(956) 632-6641

Sole ProprietorYes

Medical School CMSOtherGraduated 1973

Enumeration DateJuly 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1285664755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in TX · E4730

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

101 E RIDGE RD, Mcallen, TX 78503

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Other Identifiers 2

Medicare UPINE28666TX

Medicare ID-Type Unspecified81P863TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Jose Luis Valencia 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 ID3173624749

PECOS Enrollment IDI20070726000334

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

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

38 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Starr County Memorial Hospital

Acute Care Hospitals · Rio Grande City, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450654

Location128 N Fm Rd 3167Rio Grande City, TX 78582 · Starr County

Emergency services Birthing friendly

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450711

Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

COLUMBIA RIO GRANDE HEALTHCARE, L.P.

General Acute Care Hospital