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DR. ANTHONY VALENTE M.D.
NPI 1538197835
Internal Medicine - Critical Care Medicine in Hazleton, PA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
79.25/100
CMS Quality Rating
149 N VINE ST, HAZLETON, PA 18201(570) 455-0923(570) 455-4034 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Anthony Valente M.d. NPPES

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

DR. ANTHONY VALENTE M.D. (NPI 1538197835) is an individual critical care medicine provider in Hazleton, Pennsylvania, licensed in Pennsylvania (MD042324L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Pennsylvania State University College Of Medicine (1987).

NPPES Registry Identity

NPI1538197835
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. ANTHONY VALENTECredential: M.D.
Location Address149 N VINE STHazleton, PA 18201-5852
Mailing Address12 W 17th StHazleton, PA 18201-2503 · (570) 455-0923 · Fax (570) 455-4034
Phone(570) 455-0923
Fax(570) 455-4034
Sole ProprietorYes
Medical School CMSPennsylvania State University College Of MedicineGraduated 1987
Enumeration DateJune 28, 2006
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1538197835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in PA · MD042324L
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD042324L (PA)
149 N VINE ST, Hazleton, PA 18201
Open in Google Maps ↗

Other Identifiers 1

Other653384PA · Blue Shield

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. Anthony Valente M.d. 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 ID1456259548
PECOS Enrollment IDI20031229000224
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
371 services323 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.
102 services50 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.
38 services22 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.
16 services12 patients
Insertion of tube for infusion (5 years or older) 36569
This procedure involves placing a small, flexible tube into a vein, usually in the arm. It's done to allow quick, efficient delivery of fluids or medications directly into the bloodstream. It's a common, safe process that helps manage various health conditions.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18201 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

79.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.35
Promoting Interoperability87
Improvement Activities40
Cost62.21

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES V MARTINO MD
Internal Medicine (Pulmonary Disease)
149 N VINE ST
HAZLETON, PA 18201
Luzerne County (570) 459-0414
DR. LISA A TABBIT DO
Family Medicine
149 N VINE ST
HAZLETON, PA 18201
Luzerne County (570) 454-0500
HEATHER ANN SUGARMAN CRNP
Nurse Practitioner (Family)
149 N VINE ST
HAZLETON, PA 18201
Luzerne County (570) 454-0500

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 Anthony Valente's NPI number?

The NPI number for Anthony Valente is 1538197835. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Anthony Valente located?

Anthony Valente practices at 149 N Vine St, Hazleton, PA 18201. The listed phone number is (570) 455-0923.

What is Anthony Valente's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Anthony Valente enrolled in Medicare?

Yes. Anthony Valente 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.

Is Anthony Valente affiliated with any hospitals?

According to CMS data, Anthony Valente is affiliated with Lehigh Valley Hospital and Lehigh Valley Hospital - Hazleton.

When was this NPI record last updated?

The NPPES record for Anthony Valente was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.