JOSE EDGARDO VALERIO MD
NPI 1619148293
Neurological Surgery in South Miami, FL

Active since March 21, 2008PECOS EnrolledAccepts Medicare Assignment
6129 SW 70TH ST, SOUTH MIAMI, FL 33143(786) 871-6800(786) 871-6801 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2020, Mar 20, 2018, Mar 17, 2018 (3 updates tracked since 2018).

About Jose Edgardo Valerio Md NPPES

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

JOSE EDGARDO VALERIO MD (NPI 1619148293) is an individual neurological surgery provider in South Miami, Florida, licensed in Florida (ME108682) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Steward North Shore Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619148293
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJOSE EDGARDO VALERIOCredential: MD
Location Address6129 SW 70TH STSouth Miami, FL 33143-3451
Mailing AddressPo Box 565338Miami, FL 33256-5338 · (305) 218-4128 · Fax (786) 363-1179
Fax(786) 871-6801
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 21, 2008
Last NPPES UpdateApril 15, 20203 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
NPI 1619148293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in FL · ME108682
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

6129 SW 70TH ST, South Miami, FL 33143

Other Names 1

Other Name (5)Jose Edgardo Valerio-pascua

Secondary Practice Locations 2

Location 17100 W 20th Ave Ste 210Hialeah, FL 33016-1812 · Phone (786) 871-6800 · Fax (786) 871-6801
Location 21435 W 49th Pl Ste 402Hialeah, FL 33012-3147 · Phone (786) 871-6800 · Fax (786) 871-6801

Other Identifiers 1

Medicaid003012400FL

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

Jose Edgardo Valerio 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 ID6709074081
PECOS Enrollment IDI20101230000989
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 4

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.

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.
54 services51 patients
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.
43 services36 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.
20 services14 patients
Creation of brain fluid drainage shunt, ventriculo-peritoneal, -pleural, other terminus 62223
This procedure involves placing a small tube, known as a shunt, from the brain to another part of the body. This helps drain excess fluid that can build up in the brain, reducing pressure and alleviating symptoms. The other end of the shunt can be placed in the abdomen, chest, or other suitable area.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Steward North Shore Medical Center

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100029
Location1100 NW 95th StMiami, FL 33150 · Miami-Dade County
Emergency services Birthing friendly

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Larkin Community Hospital Palm Springs Campus

Acute Care Hospitals · Hialeah, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100050
Location1475 W 49th StHialeah, FL 33012 · Miami-Dade County
Emergency services

Larkin Community Hospital

Acute Care Hospitals · South Miami, FL
OwnershipProprietary
CMS Certification Number100181
Location7031 SW 62nd AveSouth Miami, FL 33143 · Miami-Dade County
Emergency services

Steward Palmetto General Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100187
Location2001 W 68th StHialeah, FL 33016 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33143 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 13

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

General Acute Care Hospital
6129 SW 70TH ST
SOUTH MIAMI, FL 33143
Neurological Surgery
6129 SW 70TH ST
SOUTH MIAMI, FL 33143
Radiology (Radiation Oncology)
6129 SW 70TH ST
SOUTH MIAMI, FL 33143
Radiology (Radiation Oncology)
6129 SW 70TH ST
SOUTH MIAMI, FL 33143
Radiology (Vascular & Interventional Radiology)
6129 SW 70TH ST
SOUTH MIAMI, FL 33143
Nurse Practitioner
6129 SW 70TH ST
SOUTH MIAMI, FL 33143
Student in an Organized Health Care Education/Training Program
6129 SW 70TH ST
SOUTH MIAMI, FL 33143
Radiology (Diagnostic Radiology)
6129 SW 70TH ST
SOUTH MIAMI, FL 33143

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 Jose Valerio's NPI number?

The NPI number for Jose Valerio is 1619148293. It was assigned to this individual provider in the NPPES registry on March 21, 2008. The provider is also known as Jose Edgardo Valerio-Pascua.

Where is Jose Valerio located?

Jose Valerio practices at 6129 SW 70th St, South Miami, FL 33143. The listed phone number is (786) 871-6800.

What is Jose Valerio's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Jose Valerio enrolled in Medicare?

Yes. Jose Valerio 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 Jose Valerio accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Jose Valerio 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 Jose Valerio affiliated with any hospitals?

According to CMS data, Jose Valerio is affiliated with Steward North Shore Medical Center, Mount Sinai Medical Center Of Florida, Inc, Larkin Community Hospital Palm Springs Campus, Larkin Community Hospital and Steward Palmetto General Hospital.

When was this NPI record last updated?

The NPPES record for Jose Valerio was last updated on April 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.