Active NPI 1831194380 Individual Practitioner Male Practitioner

Dr. James William Valuska , MD

Surgery • Wexford, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Valuska, MD is a certified Surgery practicing in Wexford, PA. With approximately 31 years of clinical experience since graduating from Ohio State University College Of Medicine in 1995, Dr. Valuska delivers high-quality medical care to the local community at 9930 GRUBBS ROAD.

Dr. Valuska is affiliated with Wmc Physician Practices Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9930 Grubbs Road
Suite 100

Wexford, PA 150904756

Telephone 4123643805

Fax 4123643479

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wexford, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +9.7 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Wexford, PA (1976 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Valuska (31 Years) 31 Yrs

Wexford Specialty Average (21.3 Years) 21.3 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$255.98	$157.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	55	$178.45	$117.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	46	$224.70	$124.54
99213 Established patient office or other outpatient visit, typically 15 minutes	45	38	$127.62	$84.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	24	$61.25	$47.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	22	$121.63	$74.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	16	$71.21	$52.09

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	61	58	$175.00	$118.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	39	$120.00	$76.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$250.00	$157.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	40	$220.00	$125.57
99213 Established patient office or other outpatient visit, typically 15 minutes	29	29	$125.00	$84.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$70.00	$52.26
47562 Removal of gallbladder using an endoscope	13	13	$1500.00	$650.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	40	$120.00	$67.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	49	$175.00	$120.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	40	$220.00	$128.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$250.00	$151.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$310.00	$205.42
47562 Removal of gallbladder using an endoscope	19	19	$1500.00	$637.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$220.00	$173.30
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$125.00	$85.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$70.00	$53.26
49650 Repair of groin hernia using an endoscope	11	11	$929.00	$449.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	38	$120.00	$69.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	49	$168.21	$123.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$243.54	$155.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$220.00	$132.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$309.29	$213.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$64.94	$52.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$220.00	$164.04
47562 Removal of gallbladder using an endoscope	12	12	$1500.00	$666.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	39	$120.00	$70.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	34	$220.00	$136.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$236.00	$158.46
99213 Established patient office or other outpatient visit, typically 15 minutes	26	22	$105.00	$70.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$155.00	$103.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	14	$61.00	$42.63
49650 Repair of groin hernia using an endoscope	12	12	$929.00	$458.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	56	$120.00	$70.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	50	$220.00	$135.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$236.00	$155.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$155.00	$103.53
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$105.00	$70.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$61.00	$42.21
47562 Removal of gallbladder using an endoscope	13	13	$1500.00	$653.68
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$93.00	$18.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	47	$120.00	$70.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$236.00	$156.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	36	$220.00	$132.04
99213 Established patient office or other outpatient visit, typically 15 minutes	24	19	$105.00	$68.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$155.00	$98.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	52	$120.00	$68.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	47	$212.21	$133.28
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$105.00	$66.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$155.00	$95.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$61.00	$39.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$236.00	$155.59

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD068795L

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 35-07-7941-V

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0018978300003 (PA)

Medicaid State Provider ID

7300358000 (WV)

Medicaid State Provider ID

2184032 (OH)

Hospital & Practice Group Affiliations

Wmc Physician Practices Llc

651 Colliers Way, Weirton, WV 260625055

Wmc Physician Practices Llc

651 Colliers Way, Weirton, WV 260625053

Phone: 3047976433

Wmc Physician Practices Llc

651 Colliers Way, Weirton, WV 260625053

Phone: 3047976557

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 17, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2012

Registered at 9930 GRUBBS ROAD, SUITE 100, WEXFORD, PA 150904756 (Tel: 4123643805)

📍

Updated Business Mailing Address February 17, 2012

Registered at 9930 GRUBBS ROAD, SUITE 100, WEXFORD, PA 150904756 (Tel: 4123643805)

👤

Provider Name / Credentials Updated February 17, 2012

Recorded as JAMES VALUSKA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2012

Surgery (License #MD068795L in PA)

🟢

Initial NPI Registration & Enumeration June 20, 2005

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: 1831194380

Entity Type:

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

Enumeration Date: June 20, 2005

Last Update: February 17, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9930 Grubbs Road, Suite 100

Wexford, PA 150904756

Phone: 4123643805

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.