VALERIE F. BRIONES-PRYOR M.D.
NPI 1437102340
Internal Medicine in Louisville, KY

Q: What is Valerie Briones-pryor's NPI number?

The NPI number for Valerie Briones-pryor is 1437102340. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Valerie Briones-pryor's specialty?

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

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment

73.19/100

CMS Quality Rating

1850 BLUEGRASS AVE, LOUISVILLE, KY 40215(502) 367-3360(502) 367-3365 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Valerie F. Briones-pryor M.d. NPPES

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

VALERIE F. BRIONES-PRYOR M.D. (NPI 1437102340) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (38454) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Uofl Health - Shelbyville Hospital, and is a graduate of University Of Louisville School Of Medicine (2001).

NPPES Registry Identity

NPI1437102340

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameVALERIE F. BRIONES-PRYORCredential: M.D.

Location Address1850 BLUEGRASS AVELouisville, KY 40215-1161

Mailing Address100 E Liberty St Ste 800Louisville, KY 40202-1428 · (502) 367-3360 · Fax (502) 367-3365

Phone(502) 367-3360

Fax(502) 367-3365

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2001

Enumeration DateMay 19, 2006

Last NPPES UpdateMarch 21, 2018

✔ NPI 1437102340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 38454

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.

1850 BLUEGRASS AVE, Louisville, KY 40215

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Other Identifiers 3

Medicaid64078967KY

OtherP00127464KY · Rr Medicare

Medicaid200485410IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Valerie F. Briones-pryor 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 ID6800877184

PECOS Enrollment IDI20040525000574

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

312 services161 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

88 services85 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

84 services82 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

77 services77 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

41 services30 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

37 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Uofl Health - Shelbyville Hospital

Acute Care Hospitals · Shelbyville, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number180016

Location727 Hospital DriveShelbyville, KY 40065 · Shelby County

Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180040

Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40215 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

73.19/100

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

Scored as part of a group practice

Quality

58.74

Promoting Interoperability

100

Improvement Activities

Cost

51.91

Referred Medical Equipment & Supplies CMS DME claims 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

2 suppliers15 claims15 services$37.97 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers74 claims74 services$14.29 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers13 claims13 services$3.39 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers80 claims80 services$66.57 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 20

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

RICHARD BOOTH HARRIS D.O.

Anesthesiology

1850 BLUEGRASS AVE
LOUISVILLE, KY 40215

Jefferson County (502) 361-6617

SCOTT BRIAN BABIN M.D.

Radiology (Diagnostic Radiology)

1850 BLUEGRASS AVE
LOUISVILLE, KY 40215

Jefferson County (865) 584-7376

PRAVEEN SESHABHATTAR M.D.

Internal Medicine

1850 BLUEGRASS AVE, HIPS DEPT
LOUISVILLE, KY 40215

Jefferson County (502) 367-3360

CARRIE ANNE ROBERTS CRNA

Nurse Anesthetist, Certified Registered

1850 BLUEGRASS AVE
LOUISVILLE, KY 40215

Jefferson County (502) 852-5851

NICHOLAS WILLIAM BONOMO

Psychiatry & Neurology (Psychiatry)

1850 BLUEGRASS AVE
LOUISVILLE, KY 40215

Jefferson County (502) 361-6731

DAVID M PASSAFIUME MD

Anesthesiology

1850 BLUEGRASS AVE
LOUISVILLE, KY 40215

Jefferson County (502) 361-6017

DR. JOHN MARSHALL WILSON MD

Anesthesiology

1850 BLUEGRASS AVE
LOUISVILLE, KY 40215

Jefferson County (502) 361-6617

SAUNDRA L. SMALLEY CRNA

Nurse Anesthetist, Certified Registered

1850 BLUEGRASS AVE
LOUISVILLE, KY 40215

Jefferson County (502) 361-6617

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 Valerie Briones-pryor's NPI number?

The NPI number for Valerie Briones-pryor is 1437102340. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Valerie Briones-pryor located?

Valerie Briones-pryor practices at 1850 Bluegrass Ave, Louisville, KY 40215. The listed phone number is (502) 367-3360.

What is Valerie Briones-pryor's specialty?

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

Is Valerie Briones-pryor enrolled in Medicare?

Yes. Valerie Briones-pryor 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 Valerie Briones-pryor accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Valerie Briones-pryor 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 Valerie Briones-pryor affiliated with any hospitals?

According to CMS data, Valerie Briones-pryor is affiliated with UofL Health - Shelbyville Hospital and Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Valerie Briones-pryor was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.