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THOMAS ALEXANDER VALENTE
NPI 1851910731
Otolaryngology in Houston, TX

Active since April 10, 2020PECOS EnrolledAccepts Medicare Assignment
1 BAYLOR PLZ, HOUSTON, TX 77030(713) 798-5928 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 12, 2025, Apr 10, 2020 (2 updates tracked since 2020).

About Thomas Alexander Valente NPPES

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

THOMAS ALEXANDER VALENTE (NPI 1851910731) is an individual otolaryngology provider in Houston, Texas, licensed in South Carolina (94820) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and maintains a secondary practice location in Greenwood.

NPPES Registry Identity

NPI1851910731
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameTHOMAS ALEXANDER VALENTE
Location Address1 BAYLOR PLZHouston, TX 77030-3411
Mailing Address7031 Lanier StHanahan, SC 29410-8206
Phone(713) 798-5928
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2020
Enumeration DateApril 10, 2020
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1851910731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in SC · 94820
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1 BAYLOR PLZ, Houston, TX 77030
Open in Google Maps ↗

Secondary Practice Location 1

Location 11015 Spring StGreenwood, SC 29646-3831 · Phone (864) 227-6741

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Alexander Valente 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 ID7416462452
PECOS Enrollment IDI20250717000986
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Thomas Valente reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Self Medical Group
817 mi
Family Medicine
207 HOLIDAY ROAD
Mccormick, SC 29835
  • Reassigned Medicare billing, South Carolina enrollment
  • 560 clinicians in this Medicare group
NPI 1629382056 (864) 391-5011
Self Regional Healthcare
817 mi
Family Medicine
207 HOLIDAY RD
Mc Cormick, SC 29835
  • Reassigned Medicare billing, South Carolina enrollment
  • 231 clinicians in this Medicare group
NPI 1467251843 (864) 391-5011
Self Regional Healthcare Partners
840 mi
Family Medicine
155 RIDGE MEDICAL PLAZA RD
Edgefield, SC 29824
  • Reassigned Medicare billing, South Carolina enrollment
  • 126 clinicians in this Medicare group
NPI 1053929208 (803) 637-3146

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Abbeville Area Medical Center

Critical Access Hospitals · Abbeville, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number421301
Location420 Thomson CircleAbbeville, SC 29620 · Abbeville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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 20

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

BAYLOR COLLEGE OF MEDICINE
General Acute Care Hospital
1 BAYLOR PLZ, SUITE 022D
HOUSTON, TX 77030
Harris County (713) 798-4620
MATTHEW CARROLL
Obstetrics & Gynecology
1 BAYLOR PLZ, BCM610
HOUSTON, TX 77030
Harris County (832) 826-7372
DR. HOLLAND MANON KAPLAN MD
Hospitalist
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (940) 231-1879
SIDRAH SHAH MD
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (713) 798-5928
MICHAEL AZAR MD (PLANNED 5/27/22)
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (713) 798-6376
MICHELE ALEXIS CABEZA MD
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (832) 824-0200
NATHANIEL GREY LOYD
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (405) 834-5432
ANDREA ELIZABETH GULOY
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (832) 824-1170

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 Thomas Valente's NPI number?

The NPI number for Thomas Valente is 1851910731. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Thomas Valente located?

Thomas Valente practices at 1 Baylor Plz, Houston, TX 77030. The listed phone number is (713) 798-5928.

What is Thomas Valente's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Thomas Valente enrolled in Medicare?

Yes. Thomas 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.

Which organizations bill Medicare for Thomas Valente's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Valente reassigns Medicare benefits to 3 organizations: Self Medical Group (Mccormick, SC), Self Regional Healthcare (Mc Cormick, SC) and Self Regional Healthcare Partners (Edgefield, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Valente's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Valente accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Thomas Valente 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 Thomas Valente affiliated with any hospitals?

According to CMS data, Thomas Valente is affiliated with Self Regional Healthcare and Abbeville Area Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Valente was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.