Mario Valenzuela, MD
NPI 1255436705 · Psychiatry Physician · Portage, WI
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mario Valenzuela, MD is a Psychiatry Physician provider in Portage, WI (NPI 1255436705).
Provider details
- NPI number
- 1255436705
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 41231020 (WI)
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
19 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
32 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 High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 32 | $173 |
Typical Medicare-allowed amounts for these services range $173–$173 (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 · 69 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Benztropine Mesylate | 231 | 24 |
| Olanzapine | 205 | 15 |
| Quetiapine Fumarate | 161 | 14 |
| Clonazepam | 147 | 18 |
| Aripiprazole Lauroxilbrand: Aristada | 134 | — |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er | 126 | — |
| Trazodone Hcl | 122 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$821 across 39 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
- 2006-09-13
- Last updated
- 2014-04-15
Frequently asked questions
- What is Mario Valenzuela's NPI number?
- Mario Valenzuela's National Provider Identifier (NPI) is 1255436705, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mario Valenzuela's specialty?
- Mario Valenzuela is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Mario Valenzuela located?
- Mario Valenzuela's practice location on file with NPPES is 2901 Hunters Trl, Portage, WI 53901-3403.
- What is Mario Valenzuela's phone number?
- The practice phone number listed in the NPPES registry for Mario Valenzuela is (608) 742-5518.
- Does Mario Valenzuela accept Medicare?
- Mario Valenzuela is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mario Valenzuela's NPI active?
- Yes — Mario Valenzuela's NPI (1255436705) is active in the NPPES registry as of the last update on 2014-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.