Valerie Pelton
NPI 1699381954 · Physician Assistant · Newport News, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Valerie Pelton is a Physician Assistant provider in Newport News, VA (NPI 1699381954).
Provider details
- NPI number
- 1699381954
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
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
5 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
768 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 | 324 | $79 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 298 | $7 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 58 | $54 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 37 | $117 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 33 | $13 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Apixabanbrand: Eliquis | 322 | 102 |
| Metoprolol Succinate | 210 | 84 |
| Amiodarone Hcl | 125 | 63 |
| Rivaroxabanbrand: Xarelto | 106 | 42 |
| Diltiazem Hclbrand: Diltiazem 24hr Er (cd) | 71 | 29 |
| Metoprolol Tartrate | 50 | 19 |
| Dronedarone Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$541 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
- 2020-09-21
- Last updated
- 2025-03-17
- Certified
- 2025-03-17
Frequently asked questions
- What is Valerie Pelton's NPI number?
- Valerie Pelton's National Provider Identifier (NPI) is 1699381954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Valerie Pelton's specialty?
- Valerie Pelton is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Valerie Pelton located?
- Valerie Pelton's practice location on file with NPPES is 500 J Clyde Morris Blvd Fl Annex1, Newport News, VA 23601-1929.
- What is Valerie Pelton's phone number?
- The practice phone number listed in the NPPES registry for Valerie Pelton is (757) 594-3580.
- Does Valerie Pelton accept Medicare?
- Valerie Pelton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Valerie Pelton's NPI active?
- Yes — Valerie Pelton's NPI (1699381954) is active in the NPPES registry as of the last update on 2025-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.