FRANCISCO G VALENCIA M.D.
NPI 1689752727
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Tucson, AZ
NPI Status: Active since November 02, 2006
Contact Information
1555 E RIVER RD
TUCSON, AZ
ZIP 85718
Phone: (520) 321-9850
Fax: (520) 321-9005
- Individual
- Male
- Years of Experience 42
- Orthopaedic Surgery
- Pediatric Orthopaedic Surgery
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About FRANCISCO VALENCIA
This page provides the complete NPI Profile along with additional information for Francisco Valencia, a provider established in Tucson, Arizona with a medical specialization in Orthopaedic Surgery, focusing in pediatric orthopaedic surgery and more than 42 years of experience. He graduated from University Of California, San Diego School Of Medicine in 1984. The healthcare provider is registered in the NPI registry with number 1689752727 assigned on November 2006. The practitioner's primary taxonomy code is 207XP3100X with license number 18738 (AZ). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1689752727
- Provider Name
- FRANCISCO G VALENCIA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1555 E RIVER RD TUCSON, AZ 85718
- Location Phone
- (520) 321-9850
- Location Fax
- (520) 321-9005
- Mailing Address
- 1555 E RIVER RD TUCSON, AZ 85718
- Mailing Phone
- (520) 321-9850
- Mailing Fax
- (520) 321-9005
- Medical School Name
- UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
- Graduation Year
- 1984
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-02-2006
- Last Update Date
- 07-08-2007
- 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
Orthopaedic Surgery Pediatric Orthopaedic Surgery
- Taxonomy Code
- 207XP3100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 18738
- License State
- AZ
- Taxonomy Description
- An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue ACA StandardHealth Silver with Health Choice - HMO
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Bronze - PimaFocus Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - PimaFocus Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - PimaFocus Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Gold - PimaFocus Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Silver - PimaFocus Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - PimaFocus Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - Neighborhood Network - HMO
- Blue StandardHealth Bronze - PimaFocus Network - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Silver Standard - 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 |
|---|---|---|---|
| E23950 | MEDICARE UPIN (02) | ||
| 290429 | OTHER (01) | AZ | AHCCCS |
| 24806 | MEDICARE ID-TYPE UNSPECIFIED (04) |
Medicare Participation & PECOS Enrollment Status
Francisco Valencia is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Francisco Valencia 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: 2163401688
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: I20040719000272
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? Maybe
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
Reviews for FRANCISCO G VALENCIA M.D.
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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 | 6 | 8 | 9 | 7 | 5 | 2 | 7 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 14 | 5 | 4 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 4 + 5 + 4 + 7 + 4 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1689752727 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881790723 | DR. JON KENNETH NISBET M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 1555 E RIVER RD TUCSON, AZ 85718 (520) 321-9850 |
| 1295813418 | JAMES BYRON BENJAMIN M.D. Individual | Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery) | 1555 E RIVER RD TUCSON, AZ 85718 (520) 321-9850 |
| 1114005253 | MICHAEL DAVID MILLER M.D. Individual | Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery) | 1555 E RIVER RD TUCSON, AZ 85718 (152) 032-1950 |
| 1851470876 | DUSTYN L SEVERNS P.A.-C. Individual | Physician Assistant | 1555 E RIVER RD TUCSON, AZ 85718 (520) 321-9850 |
| 1235562083 | MRS. MICHELLE CALPE THOMAS PA-C Individual | Physician Assistant | 1555 E RIVER RD TUCSON, AZ 85718 (520) 661-2787 |
| 1710065867 | UNIVERSITY ORTHOPEDIC SPECIALISTS, PLLC Organization | Orthopaedic Surgery | 1555 E RIVER RD TUCSON, AZ 85718 (520) 321-9850 |
| 1851779482 | DR. STEVEN WESLEY ALIKA GONSALVES M.D. Individual | Orthopaedic Surgery | 1555 E RIVER RD TUCSON, AZ 85718 (520) 321-9850 |
| 1386611192 | MATTHEW J RADELET PA-C Individual | Physician Assistant (Surgical) | 1555 E RIVER RD TUCSON, AZ 85718 (520) 321-9850 |
| 1467924225 | NATHAN ROBINSON PA-C Individual | Physician Assistant | 1555 E RIVER RD TUCSON, AZ 85718 (520) 321-9850 |
| 1225228901 | JOLENE CLARK HARDY MD Individual | Orthopaedic Surgery | 1555 E RIVER RD TUCSON, AZ 85718 (520) 321-9850 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689752727, enumerated in the NPI registry as an "individual" on November 02, 2006
The provider is located at 1555 E River Rd Tucson, Az 85718 and the phone number is (520) 321-9850
The provider's speciality is Orthopaedic Surgery with taxonomy code 207XP3100X with a focus in Pediatric Orthopaedic Surgery
The provider has more than 42 years of experience. He graduated from University Of California, San Diego School Of Medicine in 1984.
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona,. 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.
This NPI record was last updated on November 02, 2006. 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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