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DANIEL T VALANCIUS MD
NPI 1447257365
Internal Medicine in Allentown, PA

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
69.85/100
CMS Quality Rating
1255 S CEDAR CREST BLVD, SUITE 2200, ALLENTOWN, PA 18103(610) 437-9006(610) 437-2745 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Daniel T Valancius Md NPPES

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

DANIEL T VALANCIUS MD (NPI 1447257365) is an individual internal medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD424225) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2001).

NPPES Registry Identity

NPI1447257365
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDANIEL T VALANCIUSCredential: MD
Location Address1255 S CEDAR CREST BLVD, SUITE 2200Allentown, PA 18103-6256
Mailing AddressPo Box 1754Allentown, PA 18105-1754 · (484) 884-4500 · Fax (484) 884-0699
Phone(610) 437-9006
Fax(610) 437-2745
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2001
Enumeration DateJuly 7, 2005
Last NPPES UpdateJanuary 29, 2013
✔ NPI 1447257365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD424225
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.
1255 S CEDAR CREST BLVD, Allentown, PA 18103
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Other Identifiers 1

Medicare UPINI04744PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Daniel T Valancius 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 ID244213437
PECOS Enrollment IDI20141119002149
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 7

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 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.
185 services101 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.
102 services99 patients
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.
51 services33 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.
31 services31 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services18 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110054
Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

69.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.55
Cost68.12

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%210 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%78 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers49 claims49 services$19.34 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 suppliers57 claims57 services$107.00 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$25.08 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.

MEGAN STEFANELLI PA-C
Physician Assistant (Medical)
1255 S CEDAR CREST BLVD, SUITE 2100
ALLENTOWN, PA 18103
Lehigh County (610) 402-3560
MS. MAREFA SIDDIQUE PA-C
Physician Assistant (Medical)
1255 S CEDAR CREST BLVD, SUITE 2200
ALLENTOWN, PA 18103
Lehigh County (610) 437-9006
THOMAS J RENALDO DO
Family Medicine (Geriatric Medicine)
1255 S CEDAR CREST BLVD, SUITE 3200
ALLENTOWN, PA 18103
Lehigh County (610) 402-5623
JOHN S PARK M.D.
Colon & Rectal Surgery
1255 S CEDAR CREST BLVD, SUITE 3900
ALLENTOWN, PA 18103
Lehigh County (610) 402-1095
CHARLES J SCAGLIOTTI MD
Surgery
1255 S CEDAR CREST BLVD, STE 1100
ALLENTOWN, PA 18103
Lehigh County (610) 770-3270
JENNIFER LILLEY LPC
Counselor (Mental Health)
1255 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-5433
SERGIO RUDOI JR. P.A.-C.
Physician Assistant
1255 S CEDAR CREST BLVD, SUITE 3600
ALLENTOWN, PA 18103
Lehigh County (610) 770-1606
SHANNON N. DIALLO PA-C
Physician Assistant (Medical)
1255 S CEDAR CREST BLVD, SUITE 2200
ALLENTOWN, PA 18103
Lehigh County (610) 437-9006

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 Daniel Valancius's NPI number?

The NPI number for Daniel Valancius is 1447257365. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Daniel Valancius located?

Daniel Valancius practices at 1255 S Cedar Crest Blvd Suite 2200, Allentown, PA 18103. The listed phone number is (610) 437-9006.

What is Daniel Valancius's specialty?

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

Is Daniel Valancius enrolled in Medicare?

Yes. Daniel Valancius 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 Daniel Valancius accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Daniel Valancius 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 Daniel Valancius affiliated with any hospitals?

According to CMS data, Daniel Valancius is affiliated with Atrium Health Floyd Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Valancius was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.