Valeria Santibanez
NPI 1073965125 · Pulmonary Disease Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Valeria Santibanez is a Pulmonary Disease Physician provider in Philadelphia, PA (NPI 1073965125).
Provider details
- NPI number
- 1073965125
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- MD485953 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
38 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 22 | $98 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 16 | $135 |
Typical Medicare-allowed amounts for these services range $98–$135 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 73 | 24 |
| Prednisone | 55 | 28 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 51 | 24 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 28 | — |
| Mycophenolate Mofetil | 23 | — |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 21 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$132 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-07-12
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Frequently asked questions
- What is Valeria Santibanez's NPI number?
- Valeria Santibanez's National Provider Identifier (NPI) is 1073965125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Valeria Santibanez's specialty?
- Valeria Santibanez is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Valeria Santibanez located?
- Valeria Santibanez's practice location on file with NPPES is 834 Walnut St, Philadelphia, PA 19107-5109.
- What is Valeria Santibanez's phone number?
- The practice phone number listed in the NPPES registry for Valeria Santibanez is (929) 304-3349.
- Does Valeria Santibanez accept Medicare?
- Valeria Santibanez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Valeria Santibanez's NPI active?
- Yes — Valeria Santibanez's NPI (1073965125) is active in the NPPES registry as of the last update on 2024-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.