Active NPI 1851543862 Individual Practitioner Male Practitioner

Dr. Carlo Rigor Valencia , MD

Internal Medicine • Bear, DE

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Carlo Valencia, MD is a certified Internal Medicine practicing in Bear, DE. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Valencia delivers high-quality medical care to the local community at 121 BECKS WOODS DR STE 100.

Dr. Valencia maintains professional affiliations with United Medical Llc, United Medical, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

121 Becks Woods Dr Ste 100

Bear, DE 197013853

Telephone 3022615600

Fax 3028364302

Associated Practice Facility / Clinic

🏢 United Medical Clinic, Llc Facility NPI 1396046108

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bear, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -9.3 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

8 Specialists

Practicing in Bear, DE (625 Statewide)

Telehealth Adoption Rate

62.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

47.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Valencia (21 Years) 21 Yrs

Bear Specialty Average (30.3 Years) 30.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	670	454	$220.00	$120.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	337	337	$240.00	$128.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	236	192	$300.00	$173.70
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	144	134	$40.00	$16.03
99213 Established patient office or other outpatient visit, typically 15 minutes	128	106	$150.00	$80.10
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	64	50	$70.00	$21.86
G0008 Administration of influenza virus vaccine	52	52	$35.00	$31.89
90662 Influenza vaccine split virus, preservative free	51	51	$164.51	$81.82
81002 Urinalysis, manual test	24	23	$20.00	$3.41
83036 Hemoglobin A1C level	24	22	$25.00	$9.52
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$95.00	$13.51
99496 Transitional care management services for problem of high complexity	17	17	$475.00	$266.69
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$80.00	$53.00
99495 Transitional care management services for problem of at least moderate complexity	17	17	$340.00	$200.44
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$340.00	$163.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$425.00	$218.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	535	368	$220.00	$123.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	300	300	$240.00	$129.55
99213 Established patient office or other outpatient visit, typically 15 minutes	177	143	$150.00	$85.56
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	144	79	$70.00	$23.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	65	$300.00	$175.32
G0008 Administration of influenza virus vaccine	29	29	$35.00	$30.63
90662 Influenza vaccine split virus, preservative free	28	28	$100.00	$71.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	25	$80.00	$52.42
G0444 Annual depression screening, 5 to 15 minutes	23	23	$50.00	$18.57
99496 Transitional care management services for problem of high complexity	22	22	$475.00	$257.70
83036 Hemoglobin A1C level	18	17	$25.00	$8.46
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$95.00	$13.67
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$340.00	$165.91
81002 Urinalysis, manual test	16	15	$20.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	503	331	$220.00	$128.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	240	240	$240.00	$133.12
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	158	79	$70.00	$26.44
99213 Established patient office or other outpatient visit, typically 15 minutes	146	119	$150.00	$92.47
G0444 Annual depression screening, 5 to 15 minutes	41	41	$50.00	$18.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	36	$300.00	$185.34
G0008 Administration of influenza virus vaccine	25	25	$35.00	$29.94
90662 Influenza vaccine split virus, preservative free	23	23	$100.00	$68.40
83036 Hemoglobin A1C level	20	17	$25.00	$9.59
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$95.00	$13.84
99495 Transitional care management services for problem of at least moderate complexity	15	15	$340.00	$212.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$80.00	$54.38
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$338.85	$170.33
81002 Urinalysis, manual test	12	12	$20.00	$3.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	429	288	$220.00	$131.04
91300 Sarscov2 vac 30mcg/0.3ml im	267	155	$0.01	$0.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	236	236	$240.00	$135.97
99213 Established patient office or other outpatient visit, typically 15 minutes	236	170	$150.00	$92.01
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	169	169	$52.04	$20.14
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	146	146	$78.77	$38.78
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	144	82	$70.00	$26.98
91301 Sarscov2 vac 100mcg/0.5ml im	74	41	$0.01	$0.01
G0008 Administration of influenza virus vaccine	45	45	$35.00	$17.34
90662 Influenza vaccine split virus, preservative free	43	43	$100.00	$65.26
0011A Adm sarscov2 100mcg/0.5ml1st	39	39	$49.33	$23.64
0012A Adm sarscov2 100mcg/0.5ml2nd	36	36	$66.67	$30.74
0012A Adm sarscov2 100mcg/0.5ml2nd	33	33	$80.00	$29.02
0011A Adm sarscov2 100mcg/0.5ml1st	33	33	$80.00	$17.34
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	31	31	$80.00	$18.85
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	30	30	$80.00	$35.08
91306 Sarscov2 vac 50mcg/0.25ml im	30	30	$0.01	$0.01
0003A Adm sarscov2 30mcg/0.3ml 3rd	26	26	$80.00	$40.71
0013A Adm sarscov2 100mcg/0.5ml3rd	25	25	$80.00	$40.71
83036 Hemoglobin A1C level	23	23	$25.00	$9.37
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$340.00	$173.96
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$95.00	$13.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$340.00	$160.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	487	320	$219.78	$109.88
99213 Established patient office or other outpatient visit, typically 15 minutes	391	252	$150.00	$75.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	223	223	$240.00	$118.50
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	138	61	$70.00	$26.83
93000 Routine ekg using at least 12 leads including interpretation and report	39	37	$95.00	$17.24
99496 Transitional care management services for problem of high complexity	29	27	$475.00	$245.55
G0008 Administration of influenza virus vaccine	28	28	$35.00	$17.22
90662 Influenza vaccine split virus, preservative free	23	23	$100.00	$60.98
83036 Hemoglobin A1C level	17	16	$25.00	$9.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$300.00	$150.77
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$340.00	$172.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	630	397	$220.00	$109.09
99213 Established patient office or other outpatient visit, typically 15 minutes	321	238	$150.00	$75.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	231	231	$240.00	$118.13
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	88	49	$70.00	$26.50
93000 Routine ekg using at least 12 leads including interpretation and report	65	64	$95.00	$17.00
83036 Hemoglobin A1C level	51	43	$25.00	$10.16
81002 Urinalysis, manual test	47	44	$20.00	$3.41
G0008 Administration of influenza virus vaccine	32	32	$35.00	$16.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	27	$300.00	$141.45
90662 Influenza vaccine split virus, preservative free	28	28	$100.00	$54.52
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$340.00	$169.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$340.00	$168.85
69210 Removal of impacted ear wax	14	12	$55.00	$48.95
99495 Transitional care management services for problem of at least moderate complexity	13	12	$340.00	$168.08
99496 Transitional care management services for problem of high complexity	12	12	$475.00	$217.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	532	371	$220.00	$107.12
99213 Established patient office or other outpatient visit, typically 15 minutes	212	165	$150.00	$74.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	211	211	$240.00	$117.97
81002 Urinalysis, manual test	71	69	$20.00	$3.32
G0008 Administration of influenza virus vaccine	47	45	$35.00	$20.08
90662 Influenza vaccine split virus, preservative free	43	41	$100.00	$49.67
93000 Routine ekg using at least 12 leads including interpretation and report	38	38	$95.00	$16.95
83036 Hemoglobin A1C level	37	31	$25.00	$11.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$340.00	$168.38
36415 Insertion of needle into vein for collection of blood sample	21	17	$30.00	$2.94
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	19	12	$70.00	$26.16
99496 Transitional care management services for problem of high complexity	18	17	$475.00	$224.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$300.00	$148.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	104	$220.00	$108.86
99213 Established patient office or other outpatient visit, typically 15 minutes	147	117	$150.00	$73.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$240.00	$115.73
G0008 Administration of influenza virus vaccine	36	36	$35.00	$25.61
90662 Influenza vaccine split virus, preservative free	30	30	$73.50	$43.24
36415 Insertion of needle into vein for collection of blood sample	18	14	$30.00	$2.94
81002 Urinalysis, manual test	17	16	$20.00	$3.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$340.00	$167.74
G0009 Administration of pneumococcal vaccine	15	13	$35.00	$26.54
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$95.00	$17.37

Medical Specialties & State Licenses

CMS Verified: 2023-04-10

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License DE C1-0009802

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1851543862 (DE)

Hospital & Practice Group Affiliations

United Medical Llc

1113 S State St, Dover, DE 199014112

Phone: 3023658333

United Medical, Llc

121 Becks Woods Dr, Bear, DE 197013853

Phone: 8668622955

United Medical Llc

600 Delaware Ave, Wilmington, DE 198011430

Phone: 3023658333

United Medical Llc

121 Becks Wood Dr, Bear, DE 197013853

Phone: 3023658333

United Medical Llc

537 Stanton Christiana Rd, Newark, DE 197132145

Phone: 3023658333

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners

Amanda Bostick , FNP-C

Nurse Practitioner - Family

NPI 1023485976

Family Nurse Practitioner (Certified)

Dr. Lakan Karlo Magat , MD

Family Medicine

NPI 1033151642

Doctor of Medicine (M.D.)

Dr. Maria Ana Valencia , MD

Internal Medicine

NPI 1073765905

Doctor of Medicine (M.D.)

Jacob Heiser , PA

Physician Assistant

NPI 1124783774

Physician Assistant

Deborah Ambali

Nurse Practitioner - Family

NPI 1205755741

Maria Talana-Indorato

Nurse Practitioner

NPI 1275403677

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location April 29, 2022

Registered at 121 BECKS WOODS DR STE 100, BEAR, DE 197013853 (Tel: 8668622955)

📍

Updated Business Mailing Address April 29, 2022

Registered at 121 BECKS WOODS DR STE 100, BEAR, DE 197013853 (Tel: 8668622955)

✅

NPI Profile Active April 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 09, 2015

Registered at 1021 GILPIN AVE, SUITE 203, WILMINGTON, DE 198063270 (Tel: 3026565334)

📍

Updated Business Mailing Address April 09, 2015

Registered at 1021 GILPIN AVE, SUITE 203, WILMINGTON, DE 198063270 (Tel: 3026565334)

👤

Provider Name / Credentials Updated April 09, 2015

Recorded as CARLO VALENCIA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2015

Internal Medicine (License #C1-0009802 in DE)

🟢

Initial NPI Registration & Enumeration October 21, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851543862

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 21, 2008

Last Update: April 10, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

121 Becks Woods Dr Ste 100

Bear, DE 197013853

Phone: 3022615600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.