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DR. CELIAN VALERO-COLON M.D.
NPI 1407896236
Internal Medicine in Pikesville, MD

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
86.79/100
CMS Quality Rating
1840 REISTERSTOWN RD, PIKESVILLE, MD 21208(757) 222-0300 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Celian Valero-colon M.d. NPPES

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

DR. CELIAN VALERO-COLON M.D. (NPI 1407896236) is an individual internal medicine provider in Pikesville, Maryland, licensed in Maryland (D0063282) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1407896236
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CELIAN VALERO-COLONCredential: M.D.
Location Address1840 REISTERSTOWN RDPikesville, MD 21208-1305
Mailing Address2900 Sabre St Ste 300Virginia Beach, VA 23452-7380 · (757) 222-0300
Phone(757) 222-0300
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 8, 2006
Last NPPES UpdateJanuary 15, 2019
✔ NPI 1407896236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0063282
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License D0063282 (MD)
1840 REISTERSTOWN RD, Pikesville, MD 21208
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Other Names 1

Former Name (1)Celian Valero Md

Secondary Practice Location 1

Location 12435 W Belvedere Ave, Suite 22Baltimore, MD 21215-5224 · Phone (410) 601-6840 · Fax (410) 601-5789

Other Identifiers 3

Medicaid409095100MD
OtherP00328227MD · R/r Medicare Provider #
OtherCA8374MD · R/r Medicare Group #

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. Celian Valero-colon 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 ID7810917200
PECOS Enrollment IDI20051130000458, I20150504001952
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 6

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
231 services100 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
100 services83 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.
47 services47 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
43 services36 patients
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.
16 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21208 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

86.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.46
Promoting Interoperability97
Improvement Activities40
Cost72

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
14%90 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
20%30 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
34%396 patients2/55-star benchmark: 97%
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers24 claims24 services$210.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

DR. SIDNEY NELSON III M.D.
Internal Medicine
1840 REISTERSTOWN RD
PIKESVILLE, MD 21208
Baltimore County (757) 222-0300
MRS. DEENA TRZUPEK FARLEY MS, OTR/L
Occupational Therapist
1840 REISTERSTOWN RD
PIKESVILLE, MD 21208
Baltimore County (410) 486-0296
KRISTEN SEXTON OMANWA
Physical Therapist
1840 REISTERSTOWN RD
PIKESVILLE, MD 21208
Baltimore County (410) 580-0892
MS. SHARON A COAD COTA
Occupational Therapy Assistant
1840 REISTERSTOWN RD
PIKESVILLE, MD 21208
Baltimore County (410) 644-6936
MIRIAM DEUTSCH COTA/L
Occupational Therapist
1840 REISTERSTOWN RD
BALTIMORE, MD 21208
Baltimore County (443) 467-6434
PATRICIA L. PRESCOTT P.T.
Physical Therapist
1840 REISTERSTOWN RD
PIKESVILLE, MD 21208
Baltimore County (410) 486-0296
EMERITUS CORPORATION
Assisted Living Facility
1840 REISTERSTOWN RD
PIKESVILLE, MD 21208
Baltimore County (410) 580-0892

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 Celian Valero-colon's NPI number?

The NPI number for Celian Valero-colon is 1407896236. It was assigned to this individual provider in the NPPES registry on June 8, 2006. The provider is also known as Celian Valero MD.

Where is Celian Valero-colon located?

Celian Valero-colon practices at 1840 Reisterstown Rd, Pikesville, MD 21208. The listed phone number is (757) 222-0300.

What is Celian Valero-colon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Celian Valero-colon enrolled in Medicare?

Yes. Celian Valero-colon 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.

When was this NPI record last updated?

The NPPES record for Celian Valero-colon was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.