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DR. ELVYS SACERIO VALCARCEL MD
NPI 1467795252
Hospitalist in Richmond Hill, NY

Active since April 01, 2013PECOS EnrolledAccepts Medicare Assignment
97.66/100
CMS Quality Rating
8563 116TH ST, APT 1, RICHMOND HILL, NY 11418(786) 382-3446 Get Directions Write a Review

NPPES record last updated: April 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Elvys Sacerio Valcarcel Md NPPES

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

DR. ELVYS SACERIO VALCARCEL MD (NPI 1467795252) is an individual hospitalist provider in Richmond Hill, New York, licensed in Florida (ME115001) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1467795252
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. ELVYS SACERIO VALCARCELCredential: MD
Location Address8563 116TH ST, APT 1Richmond Hill, NY 11418-1712
Mailing Address8563 116th St, Apt 1Richmond Hill, NY 11418-1712 · (786) 382-3446
Phone(786) 382-3446
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateApril 1, 2013
✔ NPI 1467795252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME115001
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
8563 116TH ST, Richmond Hill, NY 11418
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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. Elvys Sacerio Valcarcel 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 ID2668615485
PECOS Enrollment IDI20130827000362
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.
602 services224 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.
274 services152 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.
202 services197 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.
83 services82 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.
29 services28 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Sebastian River Medical Center

Acute Care Hospitals · Sebastian, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100217
Location13695 Us Hwy 1Sebastian, FL 32958 · Indian River County
Emergency services

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100246
Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County
Emergency services Birthing friendly

Hca Florida Raulerson Hospital

Acute Care Hospitals · Okeechobee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100252
Location1796 Hwy 441 NorthOkeechobee, FL 34972 · Okeechobee County

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100260
Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11418 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

97.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.15
Improvement Activities40
Cost83.57

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…
78%258 patients4/55-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 2

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 suppliers22 claims22 services$16.83 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 suppliers22 claims22 services$87.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Elvys Sacerio Valcarcel's NPI number?

The NPI number for Elvys Sacerio Valcarcel is 1467795252. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Elvys Sacerio Valcarcel located?

Elvys Sacerio Valcarcel practices at 8563 116th St Apt 1, Richmond Hill, NY 11418. The listed phone number is (786) 382-3446.

What is Elvys Sacerio Valcarcel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Elvys Sacerio Valcarcel enrolled in Medicare?

Yes. Elvys Sacerio Valcarcel 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 Elvys Sacerio Valcarcel accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Elvys Sacerio Valcarcel 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 Elvys Sacerio Valcarcel affiliated with any hospitals?

According to CMS data, Elvys Sacerio Valcarcel is affiliated with Cleveland Clinic Martin North Hospital, Sebastian River Medical Center, Hca Florida Lawnwood Hospital, Hca Florida Raulerson Hospital and St Lucie Medical Center.

When was this NPI record last updated?

The NPPES record for Elvys Sacerio Valcarcel was last updated on April 1, 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.