RAPHAELLE D. VALLERA MD
NPI 1790777365
Internal Medicine - Endocrinology, Diabetes & Metabolism in Dallas, TX

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
3417 GASTON AVE, SUITE 980, DALLAS, TX 75246(469) 800-8020(469) 800-8030 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raphaelle D. Vallera Md NPPES

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

RAPHAELLE D. VALLERA MD (NPI 1790777365) is an individual endocrinology, diabetes & metabolism provider in Dallas, Texas, licensed in Texas (K1711) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Hahnemann University College Of Medicine (1990).

NPPES Registry Identity

NPI1790777365
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameRAPHAELLE D. VALLERACredential: MD
Location Address3417 GASTON AVE, SUITE 980Dallas, TX 75246-2016
Mailing Address3417 Gaston Ave, Suite 980Dallas, TX 75246-2016 · (469) 800-8020 · Fax (469) 800-8030
Fax(469) 800-8030
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1990
Enumeration DateAugust 18, 2005
Last NPPES UpdateFebruary 14, 2017
NPI 1790777365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in TX · K1711
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedSpecialistTaxonomy 174400000X · License K1711 (TX)
3417 GASTON AVE, Dallas, TX 75246

Other Identifiers 9

Other15857566TX · Pacificare
Other1420298TX · United
Medicaid031518601TX
Other900003262TX · Railroad Medicare
Medicare UPING34722TX
Medicare PIN343132YKY6TX
Other5487391TX · Aetna
Other4242788002TX · Cigna
Medicare PIN0096APTX

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

Raphaelle D. Vallera 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 ID6901865229
PECOS Enrollment IDI20041004000461
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
386 services273 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.
379 services273 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.
110 services86 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
71 services45 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450742
Location6800 Scenic DrRowlett, TX 75088 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450890
Location4700 Alliance BoulevardPlano, TX 75093 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers17 claims205 services$18.32 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers19 claims519 services$2.27 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
23 suppliers64 claims239 services$6.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims33 services$1.19 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier11 claims11 services$276.97 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
13 suppliers185 claims190 services$188.77 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.

Physician Assistant
3417 GASTON AVE, SUITE 830
DALLAS, TX 75246
Nurse Practitioner (Family)
3417 GASTON AVE
DALLAS, TX 75246
Internal Medicine
3417 GASTON AVE, SUITE 1100
DALLAS, TX 75246
Urology
3417 GASTON AVE, SUITE 830
DALLAS, TX 75246
Urology
3417 GASTON AVE, SUITE 830
DALLAS, TX 75246
Internal Medicine
3417 GASTON AVE, SUITE 1000
DALLAS, TX 75246
Internal Medicine
3417 GASTON AVE, SUITE 1000
DALLAS, TX 75246
Internal Medicine
3417 GASTON AVE, SUITE 700
DALLAS, TX 75246

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 Raphaelle Vallera's NPI number?

The NPI number for Raphaelle Vallera is 1790777365. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Raphaelle Vallera located?

Raphaelle Vallera practices at 3417 Gaston Ave Suite 980, Dallas, TX 75246. The listed phone number is (469) 800-8020.

What is Raphaelle Vallera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Raphaelle Vallera enrolled in Medicare?

Yes. Raphaelle Vallera 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 Raphaelle Vallera accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Raphaelle Vallera 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 Raphaelle Vallera affiliated with any hospitals?

According to CMS data, Raphaelle Vallera is affiliated with Baylor University Medical Center, Baylor Scott And White Medical Center Lake Pointe and Baylor Scott & White Medical Center Plano.

When was this NPI record last updated?

The NPPES record for Raphaelle Vallera was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.