Vincent Valencia, M.D.
NPI 1134359243 · Family Medicine Physician · Adel, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vincent Valencia, M.D. is a Family Medicine Physician provider in Adel, GA (NPI 1134359243).
Provider details
- NPI number
- 1134359243
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD68751 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 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
28 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) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 28 | $124 |
Typical Medicare-allowed amounts for these services range $124–$124 (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 · 161 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 605 | 145 |
| Amlodipine Besylate | 557 | 127 |
| Lisinopril | 400 | 89 |
| Levothyroxine Sodium | 305 | 57 |
| Carvedilol | 286 | 50 |
| Gabapentin | 253 | 55 |
| Pantoprazole Sodium | 235 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$229 across 13 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
- 2009-07-23
- Last updated
- 2021-03-08
- Certified
- 2021-03-08
Frequently asked questions
- What is Vincent Valencia's NPI number?
- Vincent Valencia's National Provider Identifier (NPI) is 1134359243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vincent Valencia's specialty?
- Vincent Valencia is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Vincent Valencia located?
- Vincent Valencia's practice location on file with NPPES is 172 Mj Taylor Rd, Adel, GA 31620-3497.
- What is Vincent Valencia's phone number?
- The practice phone number listed in the NPPES registry for Vincent Valencia is (229) 896-3424.
- Does Vincent Valencia accept Medicare?
- Vincent Valencia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vincent Valencia's NPI active?
- Yes — Vincent Valencia's NPI (1134359243) is active in the NPPES registry as of the last update on 2021-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.