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SIMON E VALLADARES PA-C
NPI 1467854208
Physician Assistant in Miami, FL

Active since September 24, 2014PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
11801 SW 90TH ST, SUITE 201, MIAMI, FL 33186(305) 595-1317(305) 279-6813 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Simon E Valladares Pa-c NPPES

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

SIMON E VALLADARES PA-C (NPI 1467854208) is an individual physician assistant in Miami, Florida, licensed in Florida (PA9108270) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1467854208
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSIMON E VALLADARESCredential: PA-C
Location Address11801 SW 90TH ST, SUITE 201Miami, FL 33186-2182
Mailing AddressPo Box 198175Atlanta, GA 30384-8175 · (305) 595-1317 · Fax (305) 279-6813
Phone(305) 595-1317
Fax(305) 279-6813
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 24, 2014
✔ NPI 1467854208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9108270
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11801 SW 90TH ST, Miami, FL 33186
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Other Identifiers 1

Other650667458FL · Taxpayer Identification

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida.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

Simon E Valladares Pa-c 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 ID4981929841
PECOS Enrollment IDI20150217001635
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

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.
61 services49 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33186 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

MONTSERRAT BUIA, M.D., P.A.
Family Medicine
11801 SW 90TH ST, 105
MIAMI, FL 33186
Miami-Dade County (305) 279-7020
FELIX A STANZIOLA, MD, PA
Specialist
11801 SW 90TH ST, SUITE 101
MIAMI, FL 33186
Miami-Dade County (305) 595-0719
DR. DAVID E FONT-RODRIGUEZ MD
Specialist
11801 SW 90TH ST, SUITE 201
MIAMI, FL 33186
Miami-Dade County (305) 595-1274
MIAMI REGIONAL OPCO LLC
Clinic/Center (Ambulatory Surgical)
11801 SW 90TH ST
MIAMI, FL 33186
Miami-Dade County (212) 220-9222
PREMIERCARE SURGERY CENTER OF KENDALL, LLC
Clinic/Center (Ambulatory Surgical)
11801 SW 90TH ST
MIAMI, FL 33186
Miami-Dade County (772) 485-7657
SPEEDIX, INC.
Physician Assistant (Surgical)
11801 SW 90TH ST, SUITE 101
MIAMI, FL 33186
Miami-Dade County (305) 595-0719
MAURICIO FERNANDO HERRERA MD
Orthopaedic Surgery (Sports Medicine)
11801 SW 90TH ST, SUITE 201
MIAMI, FL 33186
Miami-Dade County (305) 595-1317
DR. AMAR DILIP RAJADHYAKSHA MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
11801 SW 90TH ST, SUITE 201
MIAMI, FL 33186
Miami-Dade County (305) 595-1317

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 Simon Valladares's NPI number?

The NPI number for Simon Valladares is 1467854208. It was assigned to this individual provider in the NPPES registry on September 24, 2014.

Where is Simon Valladares located?

Simon Valladares practices at 11801 SW 90th St Suite 201, Miami, FL 33186. The listed phone number is (305) 595-1317.

What is Simon Valladares's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Simon Valladares enrolled in Medicare?

Yes. Simon Valladares 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 Simon Valladares accept?

Health plans from AmeriHealth Caritas Next and Oscar Health Maintenance Organization of Florida list Simon Valladares 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 Simon Valladares affiliated with any hospitals?

According to CMS data, Simon Valladares is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Simon Valladares was last updated on September 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.