DR. GABRIEL ERNESTO VALLE-EGER MD
NPI 1528325065
Internal Medicine in Mesa, AZ

Active since April 23, 2012PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
6644 E BAYWOOD AVE, BANNER BAYWOOD MEDICAL CENTER, MESA, AZ 85206(480) 321-3900(480) 321-3840 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Gabriel Ernesto Valle-eger Md NPPES

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

DR. GABRIEL ERNESTO VALLE-EGER MD (NPI 1528325065) is an individual internal medicine provider in Mesa, Arizona, licensed in New Mexico (MD2019-0032) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1528325065
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GABRIEL ERNESTO VALLE-EGERCredential: MD
Location Address6644 E BAYWOOD AVE, BANNER BAYWOOD MEDICAL CENTERMesa, AZ 85206
Mailing Address6644 E Baywood Ave, Banner Baywood Medical CenterMesa, AZ 85206 · (480) 321-3900 · Fax (480) 321-3840
Fax(480) 321-3840
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2012
Enumeration DateApril 23, 2012
Last NPPES UpdateFebruary 22, 2019
NPI 1528325065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NM · MD2019-0032 Licensed in AZ · 50733
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.
Also ListedHospitalistTaxonomy 208M00000X · License 50733 (AZ)
6644 E BAYWOOD AVE, Mesa, AZ 85206

Secondary Practice Location 1

Location 12211 Lomas Blvd NEAlbuquerque, NM 87106-2719 · Phone (505) 272-1111

Accepted 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. Gabriel Ernesto Valle-eger 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 ID1850607029
PECOS Enrollment IDI20190710001917
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.
238 services90 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.
74 services74 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 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.
16 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

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
4 suppliers37 claims37 services$16.89 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 suppliers25 claims25 services$88.39 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.

Registered Nurse (Continuing Education/Staff Development)
6644 E BAYWOOD AVE
MESA, AZ 85206
General Acute Care Hospital
6644 E BAYWOOD AVE
MESA, AZ 85206
Anesthesiology
6644 E BAYWOOD AVE
MESA, AZ 85206
Internal Medicine
6644 E BAYWOOD AVE
MESA, AZ 85206
Hospitalist
6644 E BAYWOOD AVE, BANNER BAYWOOD MEDICAL CENTER
MESA, AZ 85206
Nurse Anesthetist, Certified Registered
6644 E BAYWOOD AVE
MESA, AZ 85206
Emergency Medicine
6644 E BAYWOOD AVE
MESA, AZ 85206
Hospitalist
6644 E BAYWOOD AVE, BANNER BAYWOOD MEDICAL CENTER
MESA, AZ 85206

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 Gabriel Valle-eger's NPI number?

The NPI number for Gabriel Valle-eger is 1528325065. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Gabriel Valle-eger located?

Gabriel Valle-eger practices at 6644 E Baywood Ave Banner Baywood Medical Center, Mesa, AZ 85206. The listed phone number is (480) 321-3900.

What is Gabriel Valle-eger's specialty?

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

Is Gabriel Valle-eger enrolled in Medicare?

Yes. Gabriel Valle-eger 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 Gabriel Valle-eger accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Gabriel Valle-eger 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 Gabriel Valle-eger affiliated with any hospitals?

According to CMS data, Gabriel Valle-eger is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Gabriel Valle-eger was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.