DR. ENRIQUE GARCIA-VALENZUELA MD
NPI 1356316855
Ophthalmology - Retina Specialist in Des Plaines, IL

Q: What is Enrique Garcia-valenzuela's NPI number?

The NPI number for Enrique Garcia-valenzuela is 1356316855. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Q: What is Enrique Garcia-valenzuela's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Active since February 20, 2006PECOS EnrolledAccepts Medicare Assignment

97.3/100

CMS Quality Rating

8901 W. GOLF ROAD, 206, DES PLAINES, IL 60016(847) 699-0006(847) 699-1744 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Enrique Garcia-valenzuela Md NPPES

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

DR. ENRIQUE GARCIA-VALENZUELA MD (NPI 1356316855) is an individual retina specialist in Des Plaines, Illinois, licensed in Illinois (036113179) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1356316855

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. ENRIQUE GARCIA-VALENZUELACredential: MD

Location Address8901 W. GOLF ROAD, 206Des Plaines, IL 60016

Mailing Address8901 W. Golf Road, 206Des Plaines, IL 60016-6850 · (847) 699-0006 · Fax (847) 699-1744

Phone(847) 699-0006

Fax(847) 699-1744

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateFebruary 20, 2006

Last NPPES UpdateDecember 20, 2021

NPPES CertifiedDecember 20, 2021

✔ NPI 1356316855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in IL · 036113179

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 036-113179 (IL)

8901 W. GOLF ROAD, Des Plaines, IL 60016

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Other Identifiers 1

Medicaid036113179IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Enrique Garcia-valenzuela 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 ID4981641602

PECOS Enrollment IDI20050505001151

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 24

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

11,820 services46 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

2,716 services1,213 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

2,691 services1,275 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

1,648 services1,123 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,217 services326 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

1,142 services150 patients

Injection, dexamethasone, intravitreal implant, 0.1 mg J7312

This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.

686 services39 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

664 services198 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

435 services205 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

429 services404 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

370 services189 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

234 services188 patients

Destruction of growth of retina using a laser 67210

This procedure involves using a precise laser to target and remove abnormal growths on the retina, the thin layer at the back of the eye. It's a safe and effective way to protect your vision and prevent further eye damage.

218 services163 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

137 services137 patients

Destruction of leaking blood vessels of retina using laser 67228

This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.

108 services55 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

100 services74 patients

1d and 2d ultrasound scan of eye tissue and structures 76510

A 1D and 2D ultrasound scan of the eye is a non-invasive process that uses sound waves to create images of the eye's inner structures. This helps in detecting abnormalities or issues in the eye tissue. The procedure is safe, quick, and painless.

79 services54 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

34 services34 patients

Complex repair of detached retina and drainage of eye fluid between lens and retina 67113

This procedure involves reattaching your detached retina, a vital layer at the back of your eye. Simultaneously, excess fluid between your lens and retina is drained. This helps restore vision and prevent further eye damage.

28 services26 patients

Destruction of vascular growth between retina and sclera by photocoagulation 67220

This procedure involves using a special light (photocoagulation) to treat abnormal blood vessel growth between the retina and sclera (back parts of your eye). It helps to prevent vision loss by stopping these vessels from bleeding or leaking fluid.

24 services21 patients

Release of scar tissue between lens and retina using a laser 67031

This procedure involves using a laser to break up scar tissue that has formed between the lens and retina in your eye. This can help improve your vision by allowing light to reach the retina more effectively. It's a safe and common treatment for certain eye conditions.

19 services16 patients

Repair of detached retina using a laser 67105

A laser repair for a detached retina is a non-invasive procedure. A laser beam is used to create small burns around the detached area, promoting scarring. This scarring helps reattach the retina to the back of the eye, restoring vision.

15 services15 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

13 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140252

Location800 W Central RoadArlington Heights, IL 60005 · Cook County

Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140290

Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60016 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

97.3/100

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

Individually scored

Quality

100

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

100%1,319 patients5/55-star benchmark: 100%

Diabetes: Eye Exam

100%573 patients5/55-star benchmark: 100%

Diabetic Macular Edema - Loss of Visual Acuity

98%150 patients

Documentation of Current Medications in the Medical Record

100%6,966 patients5/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%25 patients

Provide Patients Electronic Access to Their Health Information

95%3,090 patients4/55-star benchmark: 100%

Tobacco Use and Help with Quitting Among Adolescents

100%41 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 2,096 patients

Patients totalRate: 0% · 2,096 patients

0%2,096 patients5/55-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.

MIDWEST RETINA CONSULTANTS, S.C.

Ophthalmology (Retina Specialist)

8901 W. GOLF ROAD, 206
DES PLAINES, IL 60016

Cook County (847) 699-0006

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 Enrique Garcia-valenzuela's NPI number?

The NPI number for Enrique Garcia-valenzuela is 1356316855. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Enrique Garcia-valenzuela located?

Enrique Garcia-valenzuela practices at 8901 W. Golf Road 206, Des Plaines, IL 60016. The listed phone number is (847) 699-0006.

What is Enrique Garcia-valenzuela's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Enrique Garcia-valenzuela enrolled in Medicare?

Yes. Enrique Garcia-valenzuela 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 Enrique Garcia-valenzuela accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Enrique Garcia-valenzuela 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.

Is Enrique Garcia-valenzuela affiliated with any hospitals?

According to CMS data, Enrique Garcia-valenzuela is affiliated with Northwest Community Hospital 1 and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Enrique Garcia-valenzuela was last updated on December 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.