DAVID M VALENCIA (M.D.) – Otolaryngology Physician, NPI 1841482866
Otolaryngology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
238 OTOLARYNGOLOGY in WI
Provider Addresses for DAVID M VALENCIA (M.D.)
800 West Ave S
LA Crosse, WI 546018806
Phone: (608) 392-9888
Fax: (608) 392-4192
Type: Location
PO BOX 1510
EAU CLAIRE, WI 547021510
Phone: (608) 785-0940
Type: Mailing
Mayo Clinic Health System – Franciscan Healthcare, 700, West Avenue South, La Crosse, La Crosse County, Wisconsin, 54601, United States
LA CROSSE, WI 546014783
Phone: (608) 785-0940
Type: Location
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: 2018-05-07
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20141028000223 | I | Otolaryngology | WI | TBD |
| I20180507001258 | I | Otolaryngology | MN | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 107 | 77 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 84 | 76 | $0 |
| 69210 | Removal of impacted ear wax | 83 | 59 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 74 | 41 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 66 | 66 | $0 |
Insurance plans in this area (ZIP 54601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| P S Y C H I A T R Y | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Emergency Medicine | MN | |
| - | WI | |
| - | MN | |
| - | MN | |
| Physician Assistant | MN |
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