Active NPI 1235197799 Individual Practitioner Male Practitioner

Dr. Jose Vale , MD

Surgery • Upper Sandusky, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jose Vale, MD is a certified Surgery practicing in Upper Sandusky, OH. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Vale delivers high-quality medical care to the local community at 885 N SANDUSKY AVE.

Dr. Vale is affiliated with Wyandot Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include diagnostic exam of large bowel using a flexible endoscope, established patient outpatient office visit, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

885 N Sandusky Ave

Upper Sandusky, OH 433511098

Telephone 4192943178

Fax 4197314271

Associated Practice Facility / Clinic

🏢 Wyandot Memorial Hospital Facility NPI 1477554475

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Upper Sandusky, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs Matches City Avg

City Avg: 39.0 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Upper Sandusky, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vale (39 Years) 39 Yrs

Upper Sandusky Specialty Average (39.0 Years) 39.0 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
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$1403.81	$140.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	36	$124.07	$63.64
45380 Biopsy of large bowel using an endoscope	41	41	$1461.46	$174.16
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$1349.82	$157.86
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$159.95	$68.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$218.71	$80.12
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$123.51	$83.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$218.18	$107.07
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$159.95	$46.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	14	$1112.96	$97.76
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$1007.29	$76.45
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1940.59	$242.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	45	$119.30	$88.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$210.13	$110.14
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$153.80	$70.89
45380 Biopsy of large bowel using an endoscope	26	26	$1405.25	$142.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$1070.15	$109.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$83.75	$54.86
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$1297.90	$175.89
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$968.55	$88.80
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1865.95	$237.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	118	97	$124.85	$89.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$195.88	$110.84
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$204.98	$100.65
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$130.00	$71.61
45380 Biopsy of large bowel using an endoscope	16	16	$799.00	$202.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$77.14	$54.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	12	$126.00	$38.11
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$948.00	$255.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	175	137	$126.00	$73.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$189.00	$105.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	35	$187.00	$106.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	33	$96.88	$39.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	23	$76.00	$43.85
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$130.00	$74.92
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$191.50	$102.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	21	$175.14	$72.84
45380 Biopsy of large bowel using an endoscope	19	19	$799.00	$200.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$948.00	$261.54
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	16	$526.00	$114.30
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$447.00	$90.07
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$90.00	$50.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	320	229	$126.00	$71.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$189.00	$102.72
99221 Initial hospital inpatient care per day, typically 30 minutes	59	56	$179.46	$100.26
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	32	32	$962.81	$253.10
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$130.00	$73.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$76.00	$43.35
36821 Relocation of arm vein with connection to arm artery, open procedure	21	21	$2204.00	$677.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$187.00	$105.47
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$447.00	$106.84
45380 Biopsy of large bowel using an endoscope	14	14	$799.00	$169.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	14	$71.00	$38.98
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$668.00	$189.15
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$526.00	$114.21
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	11	$1098.00	$340.65
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$668.00	$181.04
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	11	$39.00	$18.67
45381 Injection beneath lining of large bowel using a flexible endoscope	11	11	$758.00	$22.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	431	303	$126.00	$69.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$189.00	$103.79
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$130.00	$72.00
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	35	35	$948.00	$258.43
45380 Biopsy of large bowel using an endoscope	32	32	$799.00	$176.75
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	20	$447.00	$94.68
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	18	$526.00	$107.65
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	19	15	$112.00	$85.38
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$447.00	$96.81
36821 Relocation of arm vein with connection to arm artery, open procedure	18	18	$2204.00	$652.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$76.00	$41.91
37226 Insertion of stent in arteries of leg	16	12	$1614.00	$465.52
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$668.00	$187.76
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$668.00	$176.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$526.00	$105.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	466	312	$126.00	$69.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	75	$76.00	$41.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$189.00	$101.36
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$130.00	$71.50
45380 Biopsy of large bowel using an endoscope	48	48	$799.00	$165.42
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	35	35	$948.00	$247.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	26	$71.00	$38.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$187.00	$101.55
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	29	29	$17.00	$5.54
99221 Initial hospital inpatient care per day, typically 30 minutes	29	28	$181.00	$99.29
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	28	24	$112.00	$55.55
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$447.00	$94.29
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$447.00	$95.76
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$526.00	$109.06
37226 Insertion of stent in arteries of leg	21	17	$1614.00	$508.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$128.00	$70.61
36821 Relocation of arm vein with connection to arm artery, open procedure	19	19	$2204.00	$630.19
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$668.00	$180.58
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	15	13	$445.00	$146.00
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$526.00	$111.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$291.00	$158.32

Medical Specialties & State Licenses

CMS Verified: 2025-11-19

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35.064214

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0897847 (OH)

Commercial Insurance / Payer ID Aetna

644856

Commercial Insurance / Payer ID Anthem

000000118449 (OH)

Commercial Insurance / Payer ID Uhc

1700623

Commercial Insurance / Payer ID Travelers Medicare

020018140

Hospital & Practice Group Affiliations

Wyandot Memorial Hospital

885 N Sandusky Ave, Upper Sandusky, OH 433511031

Phone: 41929449912157

Practice Associates & Co-Workers

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

1 Associated Practitioners

Kristin Johnson , PA

Physician Assistant - Medical

NPI 1487648226

Physician Assistant

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location November 19, 2025

Registered at 885 N SANDUSKY AVE, UPPER SANDUSKY, OH 433511098 (Tel: 4192943178)

📍

Updated Business Mailing Address November 19, 2025

Registered at 885 N SANDUSKY AVE, UPPER SANDUSKY, OH 433511098 (Tel: 4192943178)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2025

Surgery (License #35.064214 in OH)

✅

NPI Profile Active October 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 07, 2014

Registered at 1040 DELAWARE AVENUE, MARION, OH 433011814 (Tel: 7403837950)

📍

Updated Business Mailing Address October 07, 2014

Registered at L-3549, COLUMBUS, OH 432600001 (Tel: 7403837927)

👤

Provider Name / Credentials Updated October 07, 2014

Recorded as JOSE VALE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2014

Surgery (License #35064214V in OH)

🟢

Initial NPI Registration & Enumeration May 03, 2006

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: 1235197799

Entity Type:

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

Enumeration Date: May 03, 2006

Last Update: November 19, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

885 N Sandusky Ave

Upper Sandusky, OH 433511098

Phone: 4192943178

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.