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DR. RAYMOND R. VALDIVIA M.D.
NPI 1417069774
Family Medicine in Tolleson, AZ

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
9550 W VAN BUREN ST, SUITE 1, TOLLESON, AZ 85353(623) 936-7960(623) 936-7980 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Raymond R. Valdivia M.d. NPPES

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

DR. RAYMOND R. VALDIVIA M.D. (NPI 1417069774) is an individual family medicine provider in Tolleson, Arizona, licensed in Arizona (22654) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (1991).

NPPES Registry Identity

NPI1417069774
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAYMOND R. VALDIVIACredential: M.D.
Location Address9550 W VAN BUREN ST, SUITE 1Tolleson, AZ 85353-2826
Mailing Address9550 W Van Buren St, Suite 1Tolleson, AZ 85353-2826 · (623) 936-7960 · Fax (623) 936-7980
Phone(623) 936-7960
Fax(623) 936-7980
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1991
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417069774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 22654
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9550 W VAN BUREN ST, Tolleson, AZ 85353
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Other Identifiers 2

Medicaid179714AZ
Medicare UPINF89418AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.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. Raymond R. Valdivia 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 ID4981622933
PECOS Enrollment IDI20051108000508
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.
104 services43 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.
56 services35 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
27 services19 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
24 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85353 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers22 claims56 services$5.17 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 3

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

MARY L. ROMERO MPT
Physical Therapist
9550 W VAN BUREN ST, SUITE 14 A
TOLLESON, AZ 85353
Maricopa County (623) 322-4917
SKYLER BLUE FAMILY CHIROPRACTIC LLC
Clinic/Center
9550 W VAN BUREN ST, SUITE 10
TOLLESON, AZ 85353
Maricopa County (623) 907-0454
DESERT WEST FAMILY HEALTH CENTER, P.C.
Clinic/Center (Primary Care)
9550 W VAN BUREN ST, SUITE 1
TOLLESON, AZ 85353
Maricopa County (623) 936-7960

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 Raymond Valdivia's NPI number?

The NPI number for Raymond Valdivia is 1417069774. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Raymond Valdivia located?

Raymond Valdivia practices at 9550 W Van Buren St Suite 1, Tolleson, AZ 85353. The listed phone number is (623) 936-7960.

What is Raymond Valdivia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raymond Valdivia enrolled in Medicare?

Yes. Raymond Valdivia 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 Raymond Valdivia accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Raymond Valdivia 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.

When was this NPI record last updated?

The NPPES record for Raymond Valdivia 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.