Valerie Avallone, FNP-C
NPI 1093472458 · Family Nurse Practitioner · Cumming, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Valerie Avallone, FNP-C is a Family Nurse Practitioner provider in Cumming, GA (NPI 1093472458).
Provider details
- NPI number
- 1093472458
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN306499 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
4 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
211 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 99 | $71 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 93 | $106 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 19 | $140 |
Typical Medicare-allowed amounts for these services range $71–$140 (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 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 126 | 49 |
| Famotidine | 61 | 32 |
| Omeprazole | 55 | 24 |
| Dicyclomine Hcl | 26 | 13 |
| Lipase/Protease/Amylasebrand: Creon | 20 | — |
| Linaclotidebrand: Linzess | 19 | 11 |
| Prucalopride Succinatebrand: Motegrity | 16 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$754 across 38 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
- 2021-11-19
- Last updated
- 2021-11-19
- Certified
- 2021-11-19
Frequently asked questions
- What is Valerie Avallone's NPI number?
- Valerie Avallone's National Provider Identifier (NPI) is 1093472458, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Valerie Avallone's specialty?
- Valerie Avallone is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Valerie Avallone located?
- Valerie Avallone's practice location on file with NPPES is 4150 Dep Bill Cantrell Memorial Rd Ste 290, Cumming, GA 30040-3002.
- What is Valerie Avallone's phone number?
- The practice phone number listed in the NPPES registry for Valerie Avallone is (404) 446-0600.
- Does Valerie Avallone accept Medicare?
- Valerie Avallone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Valerie Avallone's NPI active?
- Yes — Valerie Avallone's NPI (1093472458) is active in the NPPES registry as of the last update on 2021-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.