VERNON A VALENTINO MD
NPI 1891787784
Internal Medicine - Cardiovascular Disease in Lafayette, LA

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
85.51/100
CMS Quality Rating
5000 AMBASSADOR CAFFERY PKWY, BUILDING 1, SUITE 100, LAFAYETTE, LA 70508(337) 534-4143(337) 534-4082 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vernon A Valentino Md NPPES

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

VERNON A VALENTINO MD (NPI 1891787784) is an individual cardiovascular disease provider in Lafayette, Louisiana, licensed in Louisiana (18323) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1985).

NPPES Registry Identity

NPI1891787784
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameVERNON A VALENTINOCredential: MD
Location Address5000 AMBASSADOR CAFFERY PKWY, BUILDING 1, SUITE 100Lafayette, LA 70508-6984
Mailing AddressPo Box 80354Lafayette, LA 70598-0354 · (337) 534-4143 · Fax (337) 534-4082
Fax(337) 534-4082
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1985
Enumeration DateAugust 17, 2005
Last NPPES UpdateAugust 17, 2015
NPI 1891787784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in LA · 18323
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5000 AMBASSADOR CAFFERY PKWY, Lafayette, LA 70508

Other Identifiers 5

Medicare PIN5N534DB73LA
Medicare UPINE86462
Medicaid1916994LA
Medicare PIN418432LA
Other272685LA · Mc Grp Ptan

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

Vernon A Valentino 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 ID1355392523
PECOS Enrollment IDI20070212000024
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 26

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.
1,517 services890 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,052 services786 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
508 services127 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
435 services421 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
387 services374 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
213 services88 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Abbeville General Hospital

Acute Care Hospitals · Abbeville, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190034
Location118 N Hospital DrAbbeville, LA 70510 · Vermilion County
Emergency services Birthing friendly

Iberia Medical Center

Acute Care Hospitals · New Iberia, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190054
Location2315 E Main StreetNew Iberia, LA 70562 · Iberia County
Emergency services Birthing friendly

Our Lady Of Lourdes Regional Medical Center, Inc

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190102
Location4801 Ambassador Caffery ParkwayLafayette, LA 70508 · Lafayette County
Emergency services Birthing friendly

Abrom Kaplan Memorial Hospital

Critical Access Hospitals · Kaplan, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number191322
Location1310 West Seventh StreetKaplan, LA 70548 · Vermilion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70508 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

85.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.66
Promoting Interoperability100
Improvement Activities40
Cost61.74

Referred Medical Equipment & Supplies CMS DME claims

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

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier11 claims11 services$13.02 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 12

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

Internal Medicine (Cardiovascular Disease)
5000 AMBASSADOR CAFFERY PKWY, PROVINCE BUILDING 1
LAFAYETTE, LA 70508
Internal Medicine (Cardiovascular Disease)
5000 AMBASSADOR CAFFERY PKWY, PROVINCE BUILDING 1
LAFAYETTE, LA 70508
Counselor (Professional)
5000 AMBASSADOR CAFFERY PKWY, PROVINCE, BUILDING 13
LAFAYETTE, LA 70508
Urology
5000 AMBASSADOR CAFFERY PKWY, BLD 16
LAFAYETTE, LA 70508
Internal Medicine (Cardiovascular Disease)
5000 AMBASSADOR CAFFERY PKWY, PROVINCE BUILDING 1
LAFAYETTE, LA 70508
Clinic/Center
5000 AMBASSADOR CAFFERY PKWY, PROVINCE BLDG. 14-A
LAFAYETTE, LA 70508
Internal Medicine (Cardiovascular Disease)
5000 AMBASSADOR CAFFERY PKWY, BUILDING 1 STE 100
LAFAYETTE, LA 70508
Psychologist (Clinical)
5000 AMBASSADOR CAFFERY PKWY, BUILDING 13
LAFAYETTE, LA 70508

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 Vernon Valentino's NPI number?

The NPI number for Vernon Valentino is 1891787784. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Vernon Valentino located?

Vernon Valentino practices at 5000 Ambassador Caffery Pkwy Building 1, Suite 100, Lafayette, LA 70508. The listed phone number is (337) 534-4143.

What is Vernon Valentino's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Vernon Valentino enrolled in Medicare?

Yes. Vernon Valentino 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 Vernon Valentino accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Vernon Valentino 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 Vernon Valentino affiliated with any hospitals?

According to CMS data, Vernon Valentino is affiliated with Ochsner Lafayette General Medical Center, Abbeville General Hospital, Iberia Medical Center, Our Lady Of Lourdes Regional Medical Center, Inc and Abrom Kaplan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Vernon Valentino was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.