DR. CARRIE LYNNE VALDEZ MD
NPI 1588891204
Surgery - Surgical Critical Care in Columbus, OH
NPI Status: Active since June 20, 2009
Contact Information
1581 DODD DR
COLUMBUS, OH
ZIP 43210
Phone: (614) 293-2101
Fax: (614) 293-9155
- Individual
- Female
- Years of Experience 17
- Surgery
- Surgical Critical Care
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About CARRIE VALDEZ
This page provides the complete NPI Profile along with additional information for Carrie Valdez, a provider established in Columbus, Ohio with a medical specialization in Surgery, focusing in surgical critical care and more than 17 years of experience. She graduated from Eastern Virginia Medical School in 2009. The healthcare provider is registered in the NPI registry with number 1588891204 assigned on June 2009. The practitioner's primary taxonomy code is 2086S0102X with license number 35143144 (OH). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1588891204
- Provider Name
- DR. CARRIE LYNNE VALDEZ MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1581 DODD DR COLUMBUS, OH 43210
- Location Phone
- (614) 293-2101
- Location Fax
- (614) 293-9155
- Mailing Address
- 700 ACKERMAN RD STE 2120 COLUMBUS, OH 43202
- Mailing Phone
- (614) 293-2101
- Mailing Fax
- (614) 293-9155
- Medical School Name
- EASTERN VIRGINIA MEDICAL SCHOOL
- Graduation Year
- 2009
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-20-2009
- Last Update Date
- 11-18-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Surgical Critical Care
- Taxonomy Code
- 2086S0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35143144
- License State
- OH
- Taxonomy Description
- A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Standard - HMO
- Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Standard - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
0465850 | MEDICAID (05) | OH |
Medicare Participation & PECOS Enrollment Status
Carrie Valdez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Carrie Valdez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4486967122
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20211110001373
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Follow-up hospital inpatient care per day, typically 15 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Hernia repair - groin (open)
Initial hospital inpatient care per day, typically 70 minutes
Upper gastrointestinal (GI) endoscopy for acid reflux
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 112 times for 37 patientsFollow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 13 times for 11 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 43 times for 25 patientsHernia repair in the groin area (open) is a surgical procedure to fix a bulge or protrusion, caused by internal tissues pushing through a weak spot in your abdominal wall. In this operation, a small incision is made in the groin area. The protruding tissue is then placed back into the abdomen, and the weakened area is reinforced with stitches or a mesh.
This service was performed for 1-10 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 59 times for 59 patientsAn upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.
This service was performed for 1-10 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Carrie Valdez is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
OHIO STATE UNIVERSITY STATE HEALTH SYSTEM | 410 WEST 10TH AVENUE COLUMBUS, OH 43210 | (614) 293-9700 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 8 | 8 | 8 | 9 | 1 | 2 | 0 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 16 | 8 | 16 | 9 | 2 | 2 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 1 + 6 + 8 + 1 + 6 + 9 + 2 + 2 + 0 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1588891204 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1528016086 | DR. YASER RAMADAN MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1581 DODD DR COLUMBUS, OH 43210 (614) 292-9780 |
1336169556 | DR. PAULA CAROLE RABIDOUX PHD/CCC Individual | Speech-Language Pathologist | 1581 DODD DR 323 MCCAMPBELL COLUMBUS, OH 43210 (614) 688-8472 |
1104959030 | BETSEY A. BENSON PH.D. Individual | Psychologist | 1581 DODD DR COLUMBUS, OH 43210 (614) 247-7900 |
1366606683 | JULIE ANNE BOUTTAMY RD, LD Individual | Dietitian, Registered | 1581 DODD DR COLUMBUS, OH 43210 (614) 292-5624 |
1306079835 | PATRICIA KEARNS R.D. Individual | Dietitian, Registered | 1581 DODD DR 491 MCCAMPBELL HALL COLUMBUS, OH 43210 (614) 247-7698 |
1275766719 | MRS. JOCELYN IRWIN HANDSCHKE R.D. Individual | Dietitian, Registered | 1581 DODD DR 491 CAMPBELL HALL COLUMBUS, OH 43210 (614) 292-5118 |
1043545148 | MELISSA R MULLETT MS, RD, LD Individual | Dietitian, Registered | 1581 DODD DR 491 MCCAMPBELL HALL COLUMBUS, OH 43210 (614) 292-3800 |
1730493537 | LUC LECAVALIER PH.D Individual | Psychologist | 1581 DODD DR 305 MCCAMPBELL HALL COLUMBUS, OH 43210 (614) 292-2378 |
1477855401 | ALISON ELIZABETH LANE OT Individual | Occupational Therapist | 1581 DODD DR SUITE 300 COLUMBUS, OH 43210 (614) 292-0210 |
1710284179 | THOMAS R FISH LISW Individual | Social Worker (Clinical) | 1581 DODD DR MCCAMPBELL HALL, SUITE 300 COLUMBUS, OH 43210 (614) 247-7190 |
1477846392 | ELIZABETH ANNE SNYDER RD LD Individual | Dietitian, Registered | 1581 DODD DR 491 MCCAMPBELL HALL COLUMBUS, OH 43210 (614) 292-3800 |
1700996717 | ARTHUR JAMES MD Individual | Obstetrics & Gynecology | 1581 DODD DR 4TH FL MCCAMPELL HALL COLUMBUS, OH 43210 (614) 293-3069 |
1730459132 | KATHRYN M MARTIN WHNP Individual | Nurse Practitioner (Women's Health) | 1581 DODD DR 4TH FLOOR MCCAMPELL HALL COLUMBUS, OH 43210 (614) 293-0075 |
1891839585 | UNIVERSITY HEALTH CONNECTION PHARMACY Organization | Pharmacy (Clinic Pharmacy) | 1581 DODD DR MCCAMPBELL HALL, ROOM 216 COLUMBUS, OH 43210 (614) 685-6473 |
1962699553 | DR. AMBER MARIE VASQUEZ M.D. Individual | Internal Medicine (Infectious Disease) | 1581 DODD DR COLUMBUS, OH 43210 (614) 293-4854 |
1902829492 | DR. L. EUGENE ARNOLD M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1581 DODD DR COLUMBUS, OH 43210 (614) 292-9780 |
1912313156 | CARI FINK Individual | Pharmacist | 1581 DODD DR SUITE 201 COLUMBUS, OH 43210 (614) 685-6473 |
1518973023 | JULIE E MANGINO M.D. Individual | Internal Medicine (Infectious Disease) | 1581 DODD DR COLUMBUS, OH 43210 (614) 293-4854 |
1740679521 | DOROTHEA DAHL RDLD Individual | Dietitian, Registered | 1581 DODD DR 487C MCCAMPBELL HALL COLUMBUS, OH 43210 (614) 293-5469 |
1649495789 | SHANDRA R. DAY M.D. Individual | Internal Medicine (Infectious Disease) | 1581 DODD DR COLUMBUS, OH 43210 (614) 293-4837 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588891204, enumerated in the NPI registry as an "individual" on June 20, 2009
The provider is located at 1581 Dodd Dr Columbus, Oh 43210 and the phone number is (614) 293-2101
The provider's speciality is Surgery with taxonomy code 2086S0102X with a focus in Surgical Critical Care
The provider has more than 17 years of experience. She graduated from Eastern Virginia Medical School in 2009.
The provider might be accepting Accepts: Antidote Health Plan of Ohio, Inc., CareSource,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Follow-up hospital inpatient care per day, typically 15 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Hernia repair - groin (open), Initial hospital inpatient care per day, typically 70 minutes and Upper gastrointestinal (GI) endoscopy for acid reflux.
The practitioner is affiliated to the following hospital(s): OHIO STATE UNIVERSITY STATE HEALTH SYSTEM. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 20, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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