DR. CARLO RIGOR VALENCIA (MD) – Internal Medicine Physician, NPI 1851543862
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
777 INTERNAL MEDICINE in DE
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Provider Addresses for DR. CARLO RIGOR VALENCIA (MD)
1021, Gilpin Avenue, Happy Valley, Wilmington, New Castle County, Delaware, 19806, United States
SUITE 203
WILMINGTON, DE 198063270
Phone: (302) 656-5334
Fax: (866) 294-1853
Type: Mailing
121 BECKS WOODS DR STE 100
BEAR, DE 197013853
Phone: (302) 261-5600
Fax: (302) 836-4302
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 105 Open Payments records for all available years, with a total value of $2,952.
Total Amount is formed as General ($2,952) + Research ($0) + Ownership ($0) = $2,952.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($602).
Total Amount
$2,952
General + Research + Ownership
Payments
105
Total payment records
General Amount
$2,952
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $602 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $345 |
| GlaxoSmithKline, LLC. | $331 |
| Lilly USA, LLC | $253 |
| ABBVIE INC. | $186 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-09-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110929000077 | I | Internal Medicine | DE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 535 | 368 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 300 | 300 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 177 | 143 | $0 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 144 | 79 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 71 | 65 | $0 |
Insurance plans in this area (ZIP 19806)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | DE | 81002 | Urinalysis, manual test | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | DE | |
| Family Practice | DE | |
| Internal Medicine | DE | |
| - | PA | |
| Family Practice | DE | |
| Internal Medicine | DE | |
| - | DE | |
| Internal Medicine | DE | |
| Internal Medicine | DE | |
| Family Practice | DE |
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