NPI Lens

Jose Luis Valencia, M.D.

NPI 1285664755ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· McAllen, TX

Pathology, Anatomic Pathology & Clinical Pathology (M.D.) in McAllen, Texas, licensed in TX, with an NPI issued in July 2006. Their prescriptions cost Medicare Part D more than their services did: $4,396 for 39 claims, against $1,683 paid for services in 2024. Lists Rio Grande Regional Hospital as a hospital affiliation.

Overview

NPI1285664755
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorYes
NPI issuedJul 3, 2006
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Pathology, Anatomic Pathology & Clinical Pathology Primary207ZP0102XE4730TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients37
Services billed78 across 15 procedure codes
Paid by Medicare$1,683

Part D prescriptions in 2024

Prescriptions (claims)39 · 79 30-day fills
Total drug cost$4,396
Generic share74% of claims

Medicare sources and data years

Education and affiliations

Graduation year1973
Medicare specialtyPathology

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other pathologists in McAllen

All pathologists in Texas