Mario Valencia, M.D.
NPI 1548623515 · Psychiatry Physician · Lake Charles, LA
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mario Valencia, M.D. is a Psychiatry Physician provider in Lake Charles, LA (NPI 1548623515).
Provider details
- NPI number
- 1548623515
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- TRN 20218 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
10 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
68 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 55 | $74 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 13 | $162 |
Typical Medicare-allowed amounts for these services range $74–$162 (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 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clonazepam | 93 | 13 |
| Sertraline Hcl | 73 | 16 |
| Duloxetine Hcl | 71 | 12 |
| Buprenorphine Hcl/Naloxone Hclbrand: Buprenorphine-Naloxone | 64 | — |
| Bupropion Hclbrand: Bupropion Xl | 54 | 12 |
| Gabapentin | 53 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$35 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
- 2016-03-29
- Last updated
- 2022-05-12
- Certified
- 2022-05-12
Frequently asked questions
- What is Mario Valencia's NPI number?
- Mario Valencia's National Provider Identifier (NPI) is 1548623515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mario Valencia's specialty?
- Mario Valencia is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Mario Valencia located?
- Mario Valencia's practice location on file with NPPES is 2829 4th Ave Ste 150, Lake Charles, LA 70601-7897.
- What is Mario Valencia's phone number?
- The practice phone number listed in the NPPES registry for Mario Valencia is (337) 480-7800.
- Does Mario Valencia accept Medicare?
- Mario Valencia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mario Valencia's NPI active?
- Yes — Mario Valencia's NPI (1548623515) is active in the NPPES registry as of the last update on 2022-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.