DR. PEDRO PABLO GOMEZ VALENCIA (M.D.) – Surgery Physician, NPI 1033436233
Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
218 GENERAL SURGERY in ME
Provider Addresses for DR. PEDRO PABLO GOMEZ VALENCIA (M.D.)
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT
PO BOX 7291
LEWISTON, ME 042437291
Phone: (207) 777-8560
Fax: (207) 777-8800
Type: Mailing
360 BROADWAY
BANGOR, ME 044013979
Phone: (207) 907-3650
Fax: (207) 907-3660
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $13,221.
Total Amount is formed as General ($13,221) + Research ($0) + Ownership ($0) = $13,221.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($12,897).
Total Amount
$13,221
General + Research + Ownership
Payments
60
Total payment records
General Amount
$13,221
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $12,897 |
| Medtronic, Inc. | $188 |
| CONMED Corporation | $136 |
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: 2018-07-31
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 |
|---|---|---|---|---|
| I20180731002521 | I | General Surgery | ME | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 39 | 39 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 25 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 19 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 24 | 15 | $0 |
| 46600 | Diagnostic exam of anus using an endoscope | 15 | 15 | $0 |
Insurance plans in this area (ZIP 04243)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | NY | |
| Internal Medicine | ME | |
| Family Practice | ME | |
| G A S T R O E N T E R O L O G Y | ME | |
| Internal Medicine | ME | |
| G A S T R O E N T E R O L O G Y | ME | |
| Physician Assistant | ME | |
| Pulmonary Disease, Critical Care (Intensivists) | ME | |
| Orthopedic Surgery | NY | |
| Certified Registered Nurse Anesthetist (Crna) | ME |
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