DR. RICHARD GERMAN VALENZUELA M.D.
NPI 1497955611
Orthopaedic Surgery - Sports Medicine in Lake City, FL

Q: What is Richard Valenzuela's NPI number?

The NPI number for Richard Valenzuela is 1497955611. It was assigned to this individual provider in the NPPES registry on July 25, 2007. The provider is also known as Dr. Richard German Valenzuela M.D..

Q: What is Richard Valenzuela's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: Is Richard Valenzuela enrolled in Medicare?

No. Richard Valenzuela has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since July 25, 2007Opted out of Medicare · through Apr 1, 2028

404 NW HALL OF FAME DR, LAKE CITY, FL 32055(386) 755-4007(386) 755-7098 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Richard German Valenzuela M.d. NPPES

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

DR. RICHARD GERMAN VALENZUELA M.D. (NPI 1497955611) is an individual sports medicine provider in Lake City, Florida, licensed in Florida (ME116272) and active in the NPI registry since July 2007. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer and is a graduate of Other (2000).

NPPES Registry Identity

NPI1497955611

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. RICHARD GERMAN VALENZUELACredential: M.D.

Location Address404 NW HALL OF FAME DRLake City, FL 32055-4833

Mailing AddressPo Box 7404Lake City, FL 32055-7404 · (386) 755-4007 · Fax (386) 755-7098

Phone(386) 755-4007

Fax(386) 755-7098

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateJuly 25, 2007

Last NPPES UpdateNovember 4, 2014

✔ NPI 1497955611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Licenses✔ Licensed in FL · ME116272✔ Licensed in MI · 4301093240

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 26245 R (PR)

404 NW HALL OF FAME DR, Lake City, FL 32055

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Other Names 1

Professional Name (2)Dr. Richard German Valenzuela M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Richard German Valenzuela M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Reported Quality Measures

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%203 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

10%94 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 100% · 47 patients

74%47 patients4/55-star benchmark: 98%

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.

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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.

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