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Dr. Efren Burgos Valencia , MD

General Practice β€’ Middlesboro, KY

Active NPI 1336160647 Individual Practitioner Male Practitioner
Practice location in NPPES

3503 Cumberland Ave
Middlesboro, KY 409652611

Call 6062487920 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3503 Cumberland Ave

Middlesboro, KY 409652611

Telephone 6062487920
Fax 6062487947
Organization at the Same NPPES Address or Phone
Tri State Medical Clinic Inc Facility NPI 1649370719

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

1,255 standardized 30-day fills in 2013

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

$47,426 in 2013

The total cost of these prescriptions in 2013, paid by Medicare drug plans, patients and other payers together.

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, 2013.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Middlesboro and Kentucky

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Valencia are from 2013.

1 active clinicians are listed under General Practice with a practice address in Middlesboro, KY (122 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2013), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2013.

CMS Part D Β· Data Year 2013
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 100 1,811 $902.21 54
Lisinopril Lisinopril 87 2,670 $530.98 28
Simvastatin Simvastatin 83 2,790 $690.35 29
Levothyroxine Sodium Levothyroxine Sodium 74 2,340 $482.80 22
Omeprazole Omeprazole 60 1,837 $911.40 26
Nexium Esomeprazole Magnesium 47 1,500 $10,346.95 14
Alendronate Sodium Alendronate Sodium 35 994 $239.70 β€”
Atorvastatin Calcium Atorvastatin Calcium 35 1,050 $641.21 β€”
Losartan Potassium Losartan Potassium 35 1,110 $410.18 β€”
Hydrochlorothiazide Hydrochlorothiazide 33 1,050 $123.29 11
Metformin Hcl Metformin Hcl 29 900 $189.79 β€”
Amlodipine Besylate Amlodipine Besylate 28 1,140 $346.76 β€”
Proair Hfa Albuterol Sulfate 28 807 $1,860.25 β€”
Ranitidine Hcl Ranitidine Hcl 28 870 $311.70 β€”
Warfarin Sodium Warfarin Sodium 27 930 $205.61 β€”
Furosemide Furosemide 27 870 $110.48 11
Metoprolol Tartrate Metoprolol Tartrate 26 780 $111.46 β€”
Gabapentin Gabapentin 25 695 $689.57 β€”
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 23 670 $212.15 β€”
Citalopram Hbr Citalopram Hydrobromide 22 660 $134.97 β€”
Zetia Ezetimibe 22 720 $3,767.89 β€”
Glipizide Glipizide 19 630 $78.37 β€”
Carvedilol Carvedilol 18 600 $152.40 β€”
Clopidogrel Clopidogrel Bisulfate 18 540 $424.48 β€”
Potassium Chloride Potassium Chloride 18 720 $1,000.29 β€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2013; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES KY 19269

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
64192693 (KY)

Career & Practice History

NPI enumerated July 21, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1336160647
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2006
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

3503 Cumberland Ave

Middlesboro, KY 409652611

Phone: 6062487920

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.