KAREN VALLE M.D.
NPI 1295267789
Emergency Medicine in Wichita, KS

Q: What is Karen Valle's NPI number?

The NPI number for Karen Valle is 1295267789. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Q: What is Karen Valle's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Valle was last updated on January 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 03, 2017PECOS EnrolledAccepts Medicare Assignment

90.67/100

CMS Quality Rating

929 N ST FRANCIS ST, WICHITA, KS 67214(316) 268-5000 Get Directions Write a Review

NPPES record last updated: January 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2022, Dec 3, 2021, Jul 13, 2020 and 1 more (4 updates tracked since 2020).

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About Karen Valle M.d. NPPES

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

KAREN VALLE M.D. (NPI 1295267789) is an individual emergency medicine provider in Wichita, Kansas, licensed in Kansas (04-43419) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Hutchinson Regional Medical Center Inc, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2017).

NPPES Registry Identity

NPI1295267789

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameKAREN VALLECredential: M.D.

Location Address929 N ST FRANCIS STWichita, KS 67214-3821

Mailing Address929 N St Francis StWichita, KS 67214-3821 · (316) 268-5000

Phone(316) 268-5000

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2017

Enumeration DateApril 3, 2017

Last NPPES UpdateJanuary 8, 20224 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2022

✔ NPI 1295267789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in KS · 04-43419✔ Licensed in TX · S1721

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

929 N ST FRANCIS ST, Wichita, KS 67214

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas, Inc..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

Karen Valle 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 ID8224364161

PECOS Enrollment IDI20201014002377

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

297 services293 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

271 services249 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

107 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.

65 services64 patients

Hospital Affiliations CMS Care Compare 3

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

Hutchinson Regional Medical Center Inc

Acute Care Hospitals · Hutchinson, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170020

Location1701 E 23rd AvenueHutchinson, KS 67502 · Reno County

Emergency services Birthing friendly

Ascension Via Christi Hospitals Wichita, Inc.

Acute Care Hospitals · Wichita, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170122

Location929 North St Francis StreetWichita, KS 67214 · Sedgwick County

Emergency services Birthing friendly

Via Christi Hospital Wichita St Teresa, Inc

Acute Care Hospitals · Wichita, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number170200

Location14800 West St TeresaWichita, KS 67235 · Sedgwick County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67214 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

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.

90.67/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.57

Improvement Activities

Cost

100

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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.

MADELANNA GUTIERREZ APRN

Nurse Practitioner (Family)