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VALERIE GARLAND RN/NP
NPI 1497195713
Nurse Practitioner - Family in Falmouth, MA

Active since July 01, 2013PECOS EnrolledAccepts Medicare Assignment
97.03/100
CMS Quality Rating
100 TER HEUN DR, FALMOUTH, MA 02540(508) 548-5300 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Valerie Garland Rn/np NPPES

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

VALERIE GARLAND RN/NP (NPI 1497195713) is an individual family provider in Falmouth, Massachusetts, licensed in Massachusetts (RN2277116) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1497195713
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVALERIE GARLANDCredential: RN/NP
Location Address100 TER HEUN DRFalmouth, MA 02540-2503
Mailing Address100 Ter Heun DrFalmouth, MA 02540-2503
Phone(508) 548-5300
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 1, 2013
✔ NPI 1497195713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2277116
100 TER HEUN DR, Falmouth, MA 02540
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Garland Rn/np 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 ID2163645755
PECOS Enrollment IDI20140529001515
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 5

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.
870 services394 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.
321 services305 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.
149 services43 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.
23 services22 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.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02540 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.17
Promoting Interoperability100
Improvement Activities40

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
1 supplier20 claims20 services$17.58 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier20 claims20 services$914.18 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
1 supplier20 claims20 services$91.08 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.

DR. WILLIAM STEPHEN SUTTON-OHANNESIAN DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
DR. BERTRAND STEVENS DUNCAN M.D.
Surgery
100 TER HEUN DR, FALMOUTH HOSPITAL
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
CAPE COD HEALTHCARE INC
General Acute Care Hospital
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
DR. SARAH TODD MD
Emergency Medicine
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 457-3660
RACHEL TROSKY FNP-C
Nurse Practitioner (Family)
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
MICHAEL JAMES O'CONNELL D.O
Emergency Medicine
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 457-3660
JILLIAN N STONE NP
Nurse Practitioner (Acute Care)
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 548-5300
MARK STEPHEN KAMP MD
Anesthesiology
100 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 548-8989

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 Garland's NPI number?

The NPI number for Valerie Garland is 1497195713. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Where is Valerie Garland located?

Valerie Garland practices at 100 Ter Heun Dr, Falmouth, MA 02540. The listed phone number is (508) 548-5300.

What is Valerie Garland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Valerie Garland enrolled in Medicare?

Yes. Valerie Garland 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 Garland accept?

Health plans from Anthem Blue Cross and Blue Shield list Valerie Garland 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 Garland affiliated with any hospitals?

According to CMS data, Valerie Garland is affiliated with Cape Cod Hospital and Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for Valerie Garland was last updated on July 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.