ANTONY A VALENTINE DO
NPI 1679956262
Family Medicine in Gallipolis, OH

Active since July 01, 2015PECOS EnrolledAccepts Medicare Assignment
100 JACKSON PIKE, GALLIPOLIS, OH 45631(740) 446-5000 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2021, Dec 30, 2020, Aug 6, 2018 and 1 more (4 updates tracked since 2018).

About Antony A Valentine Do NPPES

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

ANTONY A VALENTINE DO (NPI 1679956262) is an individual family medicine provider in Gallipolis, Ohio, licensed in Ohio (34.013458) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1679956262
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTONY A VALENTINECredential: DO
Location Address100 JACKSON PIKEGallipolis, OH 45631
Mailing Address100 Jackson PikeGallipolis, OH 45631-1560 · (740) 446-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 1, 2015
Last NPPES UpdateJanuary 11, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
NPI 1679956262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 34.013458
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 JACKSON PIKE, Gallipolis, OH 45631

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

Antony A Valentine Do 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 ID1254637648
PECOS Enrollment IDI20181001001746
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 8

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.

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.
462 services192 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services37 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
42 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
27 services12 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims2,200 services$1.56 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier11 claims88 services$1.54 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers12 claims2,544 services$0.04 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers15 claims1,115 services$0.09 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$29.86 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$31.47 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.

Nurse Anesthetist, Certified Registered
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Emergency Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Orthopaedic Surgery
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Audiologist
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner (Family)
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Internal Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Pediatrics
100 JACKSON PIKE
GALLIPOLIS, OH 45631

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 Antony Valentine's NPI number?

The NPI number for Antony Valentine is 1679956262. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Where is Antony Valentine located?

Antony Valentine practices at 100 Jackson Pike, Gallipolis, OH 45631. The listed phone number is (740) 446-5000.

What is Antony Valentine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Antony Valentine enrolled in Medicare?

Yes. Antony Valentine 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 Antony Valentine accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, Highmark Blue Cross Blue Shield West Virginia and MedMutual list Antony Valentine 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 Antony Valentine affiliated with any hospitals?

According to CMS data, Antony Valentine is affiliated with Holzer Medical Center.

When was this NPI record last updated?

The NPPES record for Antony Valentine was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.