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DR. PAUL A VALLE JR. M.D.
NPI 1427072891
Family Medicine in Baltimore, MD

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
73.65/100
CMS Quality Rating
6565 N CHARLES ST, SUITE 313, BALTIMORE, MD 21204(443) 849-3680 Get Directions Write a Review

NPPES record last updated: December 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul A Valle Jr. M.d. NPPES

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

DR. PAUL A VALLE JR. M.D. (NPI 1427072891) is an individual family medicine provider in Baltimore, Maryland, licensed in Maryland (D26835) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1981).

NPPES Registry Identity

NPI1427072891
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAUL A VALLE JR.Credential: M.D.
Location Address6565 N CHARLES ST, SUITE 313Baltimore, MD 21204-6800
Mailing AddressPo Box 418953Boston, MA 02241-8953
Phone(443) 849-3680
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1981
Enumeration DateJuly 27, 2006
Last NPPES UpdateDecember 15, 2011
✔ NPI 1427072891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D26835
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.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License D26835 (MD)
6565 N CHARLES ST, Baltimore, MD 21204
Open in Google Maps ↗

Other Identifiers 6

OtherJ706-0001MD · Carefirst Regional
Medicaid368211100MD
Medicare UPINC49114
Other735AVA/35112005MD · Carefirst Of Maryland
Medicare PIN700LC583MD
Medicare PIN712L188754YBPGMD

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. Paul A Valle Jr. 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 ID7214052505
PECOS Enrollment IDI20100909000839
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 3

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 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.
28 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
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.

73.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality35.6
Promoting Interoperability99
Improvement Activities40
Cost73.57

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.

GAIL PATRICIA NUETZEL CRNP
Nurse Practitioner (Adult Health)
6565 N CHARLES ST, SUITE 512
TOWSON, MD 21204
Baltimore County (410) 583-0300
DR. SANJITI PODURY MD
Student in an Organized Health Care Education/Training Program
6565 N CHARLES ST
TOWSON, MD 21204
Baltimore County (443) 849-3760
RICELY AND SCHECHTER PA
Nurse Practitioner (Adult Health)
6565 N CHARLES ST, SUITE 615
TOWSON, MD 21204
Baltimore County (410) 339-7910
MS. CYNTHIA ANN FANNON AUD
Audiologist
6565 N CHARLES ST, SUITE 601
BALTIMORE, MD 21204
Baltimore County (410) 821-5151
DR. COURTENAY HYLTON MORROW D.O.
Family Medicine
6565 N CHARLES ST, PPE SUITE 411
BALTIMORE, MD 21204
Baltimore County (443) 849-2707
CHILDREN'S SURGICAL ASSOCIATES, LLC
Surgery (Pediatric Surgery)
6565 N CHARLES ST, STE 305
BALTIMORE, MD 21204
Baltimore County (443) 849-6201
DR. HMU MINN M.D.
Internal Medicine
6565 N CHARLES ST, STE 203
BALTIMORE, MD 21204
Baltimore County (443) 849-3760
FAWAD KHALIQ
Internal Medicine
6565 N CHARLES ST, PPE 203
TOWSON, MD 21204
Baltimore County (443) 849-3760

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 Paul Valle's NPI number?

The NPI number for Paul Valle is 1427072891. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Paul Valle located?

Paul Valle practices at 6565 N Charles St Suite 313, Baltimore, MD 21204. The listed phone number is (443) 849-3680.

What is Paul Valle's specialty?

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

Is Paul Valle enrolled in Medicare?

Yes. Paul Valle 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 Paul Valle was last updated on December 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.