DR. ALVARO A VALLE M.D.
NPI 1861486797
Surgery - Surgical Oncology in Chattanooga, TN

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403(423) 267-0466(423) 757-0703 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Alvaro A Valle M.d. NPPES

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

DR. ALVARO A VALLE M.D. (NPI 1861486797) is an individual surgical oncology provider in Chattanooga, Tennessee, licensed in Tennessee (MD20212) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Starr Regional Medical Center Athens, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1861486797
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. ALVARO A VALLECredential: M.D.
Location Address979 E 3RD ST, STE 300Chattanooga, TN 37403-2136
Mailing Address979 E 3rd St, Ste 300Chattanooga, TN 37403-2136 · (423) 267-0466 · Fax (423) 757-0703
Fax(423) 757-0703
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateSeptember 7, 2005
Last NPPES UpdateFebruary 19, 2019
NPI 1861486797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in TN · MD20212
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License MD2012 (TN)
979 E 3RD ST, Chattanooga, TN 37403

Other Identifiers 8

Medicaid00445959BGA
Other62165877408Jdh
Medicaid009206950AL
Other020041406Rr Medicare
Other122987Bcbs Of Tn
Other1740028Uhc
Other7090970 003Cigna
MedicaidQ002561TN

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

Dr. Alvaro A Valle M.d. 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 ID6204934011
PECOS Enrollment IDI20070601000298
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 12

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.
289 services194 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.
52 services40 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
48 services48 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.
31 services29 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
22 services21 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Starr Regional Medical Center Athens

Acute Care Hospitals · Athens, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440068
Location1114 W Madison AveAthens, TN 37371 · Mc Minn County
Emergency services Birthing friendly

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Parkridge Medical Center

Acute Care Hospitals · Chattanooga, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440156
Location2333 Mccallie AveChattanooga, TN 37404 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

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.

Radiology (Radiation Oncology)
979 E 3RD ST, SUITE G-20
CHATTANOOGA, TN 37403
Student in an Organized Health Care Education/Training Program
979 E 3RD ST
CHATTANOOGA, TN 37403
Nurse Practitioner (Family)
979 E 3RD ST, SUITE C 925
CHATTANOOGA, TN 37403
Orthopaedic Surgery
979 E 3RD ST, SUITE C430
CHATTANOOGA, TN 37403
Surgery (Plastic and Reconstructive Surgery)
979 E 3RD ST, SUITE C920
CHATTANOOGA, TN 37403
Surgery (Pediatric Surgery)
979 E 3RD ST, STE 300
CHATTANOOGA, TN 37403
Surgery (Surgery of the Hand)
979 E 3RD ST, SUITE C920
CHATTANOOGA, TN 37403
Obstetrics & Gynecology (Obstetrics)
979 E 3RD ST, SUITE C-725
CHATTANOOGA, TN 37403

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 Alvaro Valle's NPI number?

The NPI number for Alvaro Valle is 1861486797. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Alvaro Valle located?

Alvaro Valle practices at 979 E 3rd St Ste 300, Chattanooga, TN 37403. The listed phone number is (423) 267-0466.

What is Alvaro Valle's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Alvaro Valle enrolled in Medicare?

Yes. Alvaro Valle 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 Alvaro Valle accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and UnitedHealthcare list Alvaro Valle 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 Alvaro Valle affiliated with any hospitals?

According to CMS data, Alvaro Valle is affiliated with Starr Regional Medical Center Athens, Memorial Healthcare System, Inc, Erlanger Medical Center and Parkridge Medical Center.

When was this NPI record last updated?

The NPPES record for Alvaro Valle was last updated on February 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.