Active NPI 1649478389 Individual Practitioner Female Practitioner

Dr. Judith Valencia , MD

General Practice • Miami, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Judith Valencia, MD is a certified General Practice practicing in Miami, FL. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Valencia delivers high-quality medical care to the local community at 9804 SW 40TH ST.

Dr. Valencia accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9804 Sw 40th St

Miami, FL 331653912

Telephone 3052229154

Fax 3052229155

Associated Practice Facility / Clinic

🏢 Inti Fernandez Md Pa Facility NPI 1831235043

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Miami, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs -5.1 yrs vs City Avg

City Avg: 36.1 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

333 Specialists

Practicing in Miami, FL (2490 Statewide)

Telehealth Adoption Rate

7.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Valencia (31 Years) 31 Yrs

Miami Specialty Average (36.1 Years) 36.1 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	40	22	$400.00	$134.45
99213 Established patient office or other outpatient visit, typically 15 minutes	32	22	$200.00	$95.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	31	$200.00	$95.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	17	$400.00	$135.26
36415 Insertion of needle into vein for collection of blood sample	28	22	$25.00	$8.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	34	$200.00	$97.76
36415 Insertion of needle into vein for collection of blood sample	59	30	$25.00	$2.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	20	$400.00	$136.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	40	$200.00	$100.35
36415 Insertion of needle into vein for collection of blood sample	67	37	$25.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	23	$400.00	$142.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$250.00	$145.01
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$95.00	$16.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	39	$200.00	$81.40
36415 Insertion of needle into vein for collection of blood sample	68	43	$25.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	23	$400.00	$117.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$250.00	$123.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	52	$192.25	$79.26
36415 Insertion of needle into vein for collection of blood sample	84	41	$23.39	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	22	$375.00	$115.94
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$89.74	$18.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	63	$150.00	$84.86
36415 Insertion of needle into vein for collection of blood sample	84	47	$10.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	24	$220.00	$125.59
93000 Routine ekg using at least 12 leads including interpretation and report	23	21	$45.00	$19.78
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$500.00	$200.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	52	$180.48	$75.24
J1100 Injection, dexamethasone sodium phosphate, 1 mg	105	11	$102.33	$0.11
36415 Insertion of needle into vein for collection of blood sample	90	49	$19.67	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	36	$317.89	$110.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$250.00	$117.72
93000 Routine ekg using at least 12 leads including interpretation and report	21	19	$78.33	$17.81

Medical Specialties & State Licenses

CMS Verified: 2022-11-04

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME98844

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License FL ME98844

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

279199400 (FL)

Commercial Insurance / Payer ID Medical Doctor

ME98844 (FL)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Joel De La Torre Cruz , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1124452339

Advanced Practice Registered Nurse

Patricia Sanchez , PA

Physician Assistant

NPI 1457762957

Physician Assistant

Dr. Inti Fernandez , MD

General Practice

NPI 1659461101

Doctor of Medicine (M.D.)

Ailen Rodriguez

Massage Therapist

NPI 1851678684

Manuel Cabrera , APRN

Nurse Practitioner - Family

NPI 1912573858

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated November 04, 2022

Recorded as JUDITH VALENCIA, MD

✅

NPI Profile Active September 26, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 26, 2011

Registered at 9804 SW 40TH ST, MIAMI, FL 331653912 (Tel: 3052229154)

📍

Updated Business Mailing Address September 26, 2011

Registered at 4001 SW 4TH ST, CORAL GABLES, FL 331341740 (Tel: 3059037142)

👤

Provider Name / Credentials Updated September 26, 2011

Recorded as JUDITH VALENCIA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2011

Pediatrics (License #ME98844 in FL)

🟢

Initial NPI Registration & Enumeration July 03, 2007

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: 1649478389

Entity Type:

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

Enumeration Date: July 03, 2007

Last Update: November 04, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4001 Sw 4th St

Coral Gables, FL 331341740

Phone: 3059037142

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.