THOMAS JAMES VALENTINE DO
NPI 1972063105
Psychiatry & Neurology - Psychiatry in Columbus, OH

Q: What is Thomas Valentine's NPI number?

The NPI number for Thomas Valentine is 1972063105. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Q: What is Thomas Valentine's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Valentine was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 22, 2019PECOS EnrolledAccepts Medicare Assignment

81.3/100

CMS Quality Rating

3820 OLENTANGY RIVER RD, COLUMBUS, OH 43214(614) 566-4414(614) 566-6846 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2023, Mar 22, 2019 (2 updates tracked since 2019).

On this page

About Thomas James Valentine Do NPPES

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

THOMAS JAMES VALENTINE DO (NPI 1972063105) is an individual psychiatry provider in Columbus, Ohio, licensed in Ohio (34.014862) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Ohio University, College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1972063105

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameTHOMAS JAMES VALENTINECredential: DO

Location Address3820 OLENTANGY RIVER RDColumbus, OH 43214-5403

Mailing AddressPo Box 7527Dublin, OH 43017-0727

Phone(614) 566-4414

Fax(614) 566-6846

Sole ProprietorNo

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2019

Enumeration DateMarch 22, 2019

Last NPPES UpdateAugust 3, 20232 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1972063105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in OH · 34.014862

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3820 OLENTANGY RIVER RD, Columbus, OH 43214

Open in Google Maps ↗

Secondary Practice Location 1

Location 1697 Thomas LnColumbus, OH 43214-3931 · Phone (614) 566-5414 · Fax (614) 533-0433

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.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

Thomas James Valentine Do 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 ID1951644871

PECOS Enrollment IDI20230516001673

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 4

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.

94 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.

22 services22 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.

16 services14 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.

15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

81.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.58

Promoting Interoperability

Improvement Activities

Cost

65.77

Other Providers at the Same Location NPPES 16

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

MIRIAM ANN NAPLES LISW

Social Worker (Clinical)