RICARDO LUIS VALDIVIA MD
NPI 1841257797
Family Medicine in Kinston, NC

Q: What is Ricardo Valdivia's NPI number?

The NPI number for Ricardo Valdivia is 1841257797. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Q: What is Ricardo Valdivia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ricardo Valdivia was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment

324 N QUEEN ST, KINSTON, NC 28501(252) 522-9800(252) 523-9790 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Ricardo Luis Valdivia Md NPPES

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

RICARDO LUIS VALDIVIA MD (NPI 1841257797) is an individual family medicine provider in Kinston, North Carolina, licensed in North Carolina (2006-00229) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Unc Lenoir Health Care, and maintains a secondary practice location in Rocky Point.

NPPES Registry Identity

NPI1841257797

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRICARDO LUIS VALDIVIACredential: MD

Location Address324 N QUEEN STKinston, NC 28501-4932

Mailing Address324 N Queen StKinston, NC 28501-4932 · (252) 522-9800 · Fax (252) 523-9790

Phone(252) 522-9800

Fax(252) 523-9790

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateApril 26, 2006

Last NPPES UpdateApril 4, 2024

NPPES CertifiedApril 4, 2024

✔ NPI 1841257797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 2006-00229

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.

324 N QUEEN ST, Kinston, NC 28501

Open in Google Maps ↗

Secondary Practice Location 1

Location 113732 HIGHWAY 210, SUITE 400ROCKY POINT, NC 28457-7340 · Phone (910) 675-9200 · Fax (910) 675-0008

Other Identifiers 1

Medicaid5904242NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Ricardo Luis Valdivia 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 ID9537165550

PECOS Enrollment IDI20061016000383

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.

Hospital Affiliations CMS Care Compare

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

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340027

Location100 Airport RdKinston, NC 28501 · Lenoir County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28501 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 2

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

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

2 suppliers41 claims41 services$87.82 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

1 supplier11 claims11 services$185.29 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.

MICHAEL B KING MD

Internal Medicine (Cardiovascular Disease)