Dr. Judith Valencia , MD
General Practice • Miami, FL
9804 Sw 40th St
Miami, FL 331653912
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Judith Valencia is listed in NPPES under General Practice.
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NPI assigned on July 3, 2007; this date does not establish years in practice.
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Published CMS data list 72 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 40 service units.
- 99213 — Established patient outpatient office visit: 32 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 8,736 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Losartan Potassium — 458 prescription fills, including refills.
- Atorvastatin Calcium — 413 prescription fills, including refills.
- Rosuvastatin Calcium — 299 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 148 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 65% of clinicians listed under General Practice in Miami, FL (2024, 71 clinicians with data). Median for this group: 119. Middle half: 63 to 335.
Fewer Medicare Part B services than 70% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 194 in 2020 to 72 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
9804 Sw 40th St
Miami, FL 331653912
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1995
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
45 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $8,435 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $5,282 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
19,026 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$494,942 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $213.28 across 9 records.
By nature of payment
- Food and Beverage: $213.28 across 9 records.
Reporting-company totals (3 largest of 6)
- AstraZeneca Pharmaceuticals LP: $90.82 across 4 records.
- SHIELD THERAPEUTICS INC: $38.55 across 1 record.
- Cipher Pharmaceuticals US LLC: $25.65 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
31 years (graduated 1995)
CMS Doctors and Clinicians data list 1995 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Valencia has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Valencia as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Miami and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 65% of clinicians listed under General Practice in Miami, FL (2024, 71 clinicians with data). Median for this group: 119. Middle half: 63 to 335.
Fewer Medicare Part B services than 70% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.
Medicare-allowed amount
A lower Medicare-allowed amount than 60% of clinicians listed under General Practice in Miami, FL (2024, 71 clinicians with data). Median for this group: $13,208. Middle half: $4,753 to $41,565.
A lower Medicare-allowed amount than 60% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $12,422. Middle half: $5,563 to $41,228.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under General Practice in Miami, FL (2024, 71 clinicians with data). Median for this group: $9,830. Middle half: $3,433 to $30,148.
A lower Medicare payment amount than 65% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $9,105. Middle half: $3,803 to $30,969.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under General Practice in Miami, FL (2024, 155 clinicians with data). Median for this group: 2,748. Middle half: 534 to 8,097.
More Part D prescriptions than 80% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: 2,849. Middle half: 518 to 6,924.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under General Practice in Miami, FL (2024, 155 clinicians with data). Median for this group: $165,864. Middle half: $21,215 to $482,159.
A higher Part D drug cost than 75% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: $166,180. Middle half: $16,824 to $452,832.
285 active clinicians are listed under General Practice with a practice address in Miami, FL (2,293 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Miami
9.1% of these 285 clinicians have the CMS telehealth indicator.
42.8% of these 285 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 63% from 194 in 2020 to 72 in 2024.
- 2020: 194
- 2021: 208
- 2022: 163
- 2023: 112
- 2024: 72
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Medicare-allowed amount
Medicare-allowed amount decreased 31% from $12,300 in 2020 to $8,435 in 2024.
- 2020: $12,300
- 2021: $15,343
- 2022: $11,668
- 2023: $9,508
- 2024: $8,435
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Paid by Medicare
Paid by Medicare decreased 43% from $9,191 in 2020 to $5,282 in 2024.
- 2020: $9,191
- 2021: $10,907
- 2022: $7,884
- 2023: $6,853
- 2024: $5,282
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 8,121 in 2020 and 8,736 in 2024.
- 2020: 8,121
- 2021: 8,863
- 2022: 9,301
- 2023: 8,286
- 2024: 8,736
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30-day fills
30-day fills increased 14% from 16,679 in 2020 to 19,026 in 2024.
- 2020: 16,679
- 2021: 18,249
- 2022: 19,703
- 2023: 18,101
- 2024: 19,026
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Part D drug cost
Part D drug cost increased 13% from $438,581 in 2020 to $494,942 in 2024.
- 2020: $438,581
- 2021: $447,319
- 2022: $495,423
- 2023: $560,045
- 2024: $494,942
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $68.75 in 2021 to $213.28 in 2025.
- 2021: $68.75
- 2022: $52.01
- 2023: $150.55
- 2024: $133.83
- 2025: $213.28
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $213.28.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| SHIELD THERAPEUTICS INC |
Food and Beverage
In-kind items and services
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ACCRUFER | General | $38.55 |
| Cipher Pharmaceuticals US LLC |
Food and Beverage
Cash or cash equivalent
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Natroba | General | $25.65 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $25.22 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $22.62 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $22.50 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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REPATHA | General | $20.67 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $20.48 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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— | General | $20.45 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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ELIQUIS | General | $17.14 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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40 | 22 | $400.00 | $134.45 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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32 | 22 | $200.00 | $95.54 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Losartan Potassium | Losartan Potassium | 458 | 39,081 | $2,060.89 | 138 |
| Atorvastatin Calcium | Atorvastatin Calcium | 413 | 35,704 | $1,497.23 | 147 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 299 | 24,581 | $2,280.01 | 97 |
| Famotidine | Famotidine | 294 | 20,746 | $5,563.18 | 120 |
| Lisinopril | Lisinopril | 270 | 21,566 | $1,059.81 | 81 |
| Levothyroxine Sodium | Levothyroxine Sodium | 236 | 19,476 | $3,223.01 | 67 |
| Metoprolol Succinate | Metoprolol Succinate | 195 | 16,825 | $1,137.98 | 63 |
| Hydrochlorothiazide | Hydrochlorothiazide | 189 | 16,380 | $485.46 | 62 |
| Amlodipine Besylate | Amlodipine Besylate | 184 | 16,294 | $437.81 | 65 |
| Metformin Hcl | Metformin Hcl | 184 | 14,949 | $646.02 | 61 |
| Metoprolol Tartrate | Metoprolol Tartrate | 174 | 12,797 | $579.04 | 49 |
| Alprazolam | Alprazolam | 170 | 5,340 | $250.29 | 36 |
| Gabapentin | Gabapentin | 166 | 11,189 | $1,460.79 | 64 |
| Escitalopram Oxalate | Escitalopram Oxalate | 166 | 13,440 | $746.43 | 59 |
| Omeprazole | Omeprazole | 149 | 12,069 | $2,507.67 | 65 |
| Azithromycin | Azithromycin | 145 | 851 | $881.81 | 110 |
| Ibuprofen | Ibuprofen | 131 | 4,173 | $813.19 | 61 |
| Montelukast Sodium | Montelukast Sodium | 105 | 8,523 | $728.16 | 30 |
| Fenofibrate | Fenofibrate | 101 | 7,660 | $813.33 | 31 |
| Pantoprazole Sodium | Pantoprazole Sodium | 99 | 7,675 | $737.69 | 38 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 98 | 8,641 | $370.22 | 27 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 96 | 4,386 | $1,547.57 | 29 |
| Fluticasone Propionate | Fluticasone Propionate | 94 | 4,890 | $1,241.92 | 44 |
| Temazepam | Temazepam | 94 | 3,000 | $660.33 | 21 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 92 | 688 | $628.02 | 76 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-11-04NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL PRACTICE
I20071211000406
FL
2860581022
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Psychiatric/Mental Health
Advanced Practice Registered Nurse
General Practice
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as JUDITH VALENCIA, MD
NPI status registered as active in NPPES database
Registered at 9804 SW 40TH ST, MIAMI, FL 331653912 (Tel: 3052229154)
Registered at 4001 SW 4TH ST, CORAL GABLES, FL 331341740 (Tel: 3059037142)
Recorded as JUDITH VALENCIA, M.D.
Pediatrics (license number reported to NPPES: FL ME98844)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Miami
- Dr. Josefina Tur, MD
- Dr. Hermes Liens, MD
- Dr. Regina Feliu, MD
- Dr. Jose Alvarez, MD
- Dr. Mario Jimenez, MD
- Dr. Guido Perez, MD
Mailing Address
4001 Sw 4th St
Coral Gables, FL 331341740
Phone: 3059037142