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

Q: 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.

Q: What is Alvaro Valle's specialty?

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

Q: 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.

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: October 18, 2026.

On this page

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

Phone(423) 267-0466

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

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Other Identifiers 8

Medicaid00445959BGA

Other62165877408Jdh

Medicaid009206950AL

Other020041406Rr Medicare

Other122987Bcbs Of Tn

Other1740028Uhc

Other7090970 003Cigna

MedicaidQ002561TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health 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

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.

Medicare Billing Reassignment

Medicare enrollment records show Alvaro Valle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Surgical Associates, PLLC

Same address

Surgery

979 E 3RD ST, SUITE 300
Chattanooga, TN 37403

Reassigned Medicare billing, Tennessee enrollment
32 clinicians in this Medicare group

NPI 1972520963 (423) 267-0466

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

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

Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm 11606

This procedure involves surgically removing a cancerous skin growth larger than 4.0 cm on your body, arms, or legs. It's a crucial step in preventing the spread of cancer. Local anesthesia is typically used, and recovery time varies. It's a common and safe procedure.

19 services18 patients

Biopsy or removal of deep lymph nodes of underarm 38525

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

17 services17 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

15 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Complicated repair of wound of trunk, 2.6-7.5 cm 13101

This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.

12 services12 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

11 services11 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

Quality

89.41

Promoting Interoperability

100

Improvement Activities

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.

DR. JEFFREY W. GEFTER M.D.

Radiology (Radiation Oncology)

979 E 3RD ST, SUITE G-20
CHATTANOOGA, TN 37403

Hamilton County (423) 756-0018

DR. LUIS FELIPE LEMUS MD

Student in an Organized Health Care Education/Training Program

979 E 3RD ST
CHATTANOOGA, TN 37403

Hamilton County (423) 778-8179

MRS. DANA WENSEL BUTLER

Nurse Practitioner (Family)

979 E 3RD ST, SUITE C 925
CHATTANOOGA, TN 37403

Hamilton County (423) 778-5910

DR. CHANNAPPA CHANDRA M.D.

Orthopaedic Surgery

979 E 3RD ST, SUITE C430
CHATTANOOGA, TN 37403

Hamilton County (423) 624-6584

DR. JASON PAUL REHM MD

Surgery (Plastic and Reconstructive Surgery)

979 E 3RD ST, SUITE C920
CHATTANOOGA, TN 37403

Hamilton County (423) 756-7134

DR. MICHAEL G CARR M.D.

Surgery (Pediatric Surgery)

979 E 3RD ST, STE 300
CHATTANOOGA, TN 37403

Hamilton County (423) 267-0466

DR. CAULEY W HAYES MD

Surgery (Surgery of the Hand)

979 E 3RD ST, SUITE C920
CHATTANOOGA, TN 37403

Hamilton County (423) 756-7134

DR. OLUKAYODE AKINLAJA M.D.

Obstetrics & Gynecology (Obstetrics)

979 E 3RD ST, SUITE C-725
CHATTANOOGA, TN 37403

Hamilton County (423) 778-2580

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.

Which organization bills Medicare for Alvaro Valle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alvaro Valle reassigns Medicare benefits to University Surgical Associates, PLLC (Chattanooga, TN). The 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 Alvaro Valle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alvaro Valle accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers 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.