Luisa Valverde, PA-C
NPI 1538816020 · Physician Assistant · Albuquerque, NM
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luisa Valverde, PA-C is a Physician Assistant provider in Albuquerque, NM (NPI 1538816020).
Provider details
- NPI number
- 1538816020
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
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
83% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
116 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 | 53 | $102 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 27 | $136 |
| Automated Urinalysis Test81003 | 22 | $2 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 14 | $73 |
Typical Medicare-allowed amounts for these services range $2–$136 (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 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 33 | 33 |
| Doxycycline Monohydrate | 32 | 32 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 23 | 23 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 20 | 19 |
| Prednisone | 19 | 19 |
| Cefdinir | 15 | 15 |
| Nirmatrelvir/Ritonavirbrand: Paxlovid | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$142 across 5 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
Additional practice locations (1)
- 7912 Sierra Altos Pl NwAlbuquerque, NM 87114-5898Phone: (915) 449-1318
Registry dates
- Enumerated
- 2022-03-04
- Last updated
- 2023-01-05
- Certified
- 2023-01-05
Frequently asked questions
- What is Luisa Valverde's NPI number?
- Luisa Valverde's National Provider Identifier (NPI) is 1538816020, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luisa Valverde's specialty?
- Luisa Valverde is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Luisa Valverde located?
- Luisa Valverde's practice location on file with NPPES is 11601 Montgomery Blvd Ne, Albuquerque, NM 87111-2660.
- What is Luisa Valverde's phone number?
- The practice phone number listed in the NPPES registry for Luisa Valverde is (505) 418-8900.
- Does Luisa Valverde accept Medicare?
- Luisa Valverde is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Luisa Valverde's NPI active?
- Yes — Luisa Valverde's NPI (1538816020) is active in the NPPES registry as of the last update on 2023-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.