DR. JOSE LUIS VALENCIA (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1285664755
Anatomic Pathology & Clinical Pathology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,394 PATHOLOGY in TX
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Provider Addresses for DR. JOSE LUIS VALENCIA (M.D.)
Rio Grande Regional Hospital, 101, East Ridge Road, McAllen, Hidalgo County, Texas, 78503, United States
LABORATORY DEPARTMENT
MCALLEN, TX 785031248
Phone: (956) 632-6405
Fax: (956) 632-6641
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-07-26
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 |
|---|---|---|---|---|
| I20070726000334 | I | Pathology | TX | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 52 | 34 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 15 | 11 | $0 |
Insurance plans in this area (ZIP 78503)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | TX | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 120 | 112 |
| PATHOLOGY | TX | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 54 | 49 |
| PATHOLOGY | TX | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 188 | 161 |
| PATHOLOGY | TX | 88342 | Tissue or cell analysis by immunologic technique | 46 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | GA | |
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | KS | |
| P A T H O L O G Y | TX | |
| Pathology, Hematology | TX | |
| P A T H O L O G Y | TX |
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