AVA DIANE VALDEZ (PAC) – Physician Assistant, NPI 1376717439
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for AVA DIANE VALDEZ (PAC)
Medical Associates, 915, 13th Avenue North, Clinton, Clinton County, Iowa, 52732, United States
CLINTON, IA 527325067
Phone: (563) 243-2511
Fax: (563) 243-0817
Type: Mailing
635, East Lincolnway, Morrison, Whiteside County, Illinois, 61270, United States
MORRISON, IL 612702963
Phone: (815) 772-7491
Fax: (815) 772-7891
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-06-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $14 |
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: 2021-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (924 days ago).
Enrollment records
2
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20131108001399 | I | Physician Assistant | IL | 2023-11-30 |
| I20210302000192 | I | Physician Assistant | IA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 187 | 126 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 180 | 125 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 80 | 64 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 34 | 16 | $0 |
| 81003 | Automated urinalysis test | 23 | 22 | $0 |
Insurance plans in this area (ZIP 52732)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| P O D I A T R Y | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Occupational Therapist In Private Practice | IA | |
| Physician Assistant | IA | |
| Nurse Practitioner | IL | |
| - | IL | |
| Physician Assistant | FL |
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