Dr. Nelson David Valentin , MD
General Practice โข Coamo, PR
19 Calle Baldorioty
Coamo, PR 007692412
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Dr. Nelson Valentin is listed in NPPES under General Practice.
-
NPI assigned on September 9, 2020; this date does not establish years in practice.
-
Published CMS data list 14 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99283 โ Emergency department visit with low level of medical decision making: 14 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ 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 ยท Guide: How to read Medicare Part B data
-
Published CMS data list 1,378 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Famotidine โ 146 prescription fills, including refills.
- Diclofenac Sodium โ 92 prescription fills, including refills.
- Dicyclomine Hcl โ 84 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 43 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
Fewer Medicare Part B services than 90% of clinicians listed under General Practice in Puerto Rico (2024, 254 clinicians with data). Median for this group: 44. Middle half: 24 to 94.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 11 in 2022 to 14 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2024.
Practice Location & Contact Primary Location
19 Calle Baldorioty
Coamo, PR 007692412
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
20 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 โ by Provider, 2024.
Medicare-allowed amount
About $965 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 โ by Provider and Service, 2024.
Paid by Medicare
About $769 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 โ by Provider and Service, 2024.
30-day fills
1,426 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
$26,863 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $198.16 across 2 records.
By nature of payment
- Food and Beverage: $198.16 across 2 records.
Reporting-company totals
- Olympus Latin America, Inc.: $146.86 across 1 record.
- GlaxoSmithKline, LLC.: $51.30 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).
NPI first issued
2020
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, โDoes your provider accept Medicare as full payment?โ
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. Valentin 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. Valentin 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 Coamo and Puerto Rico
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 90% of clinicians listed under General Practice in Puerto Rico (2024, 254 clinicians with data). Median for this group: 44. Middle half: 24 to 94.
Too few clinicians listed under General Practice in Coamo have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 85% of clinicians listed under General Practice in Puerto Rico (2024, 254 clinicians with data). Median for this group: $3,632. Middle half: $1,847 to $6,989.
Too few clinicians listed under General Practice in Coamo have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 85% of clinicians listed under General Practice in Puerto Rico (2024, 254 clinicians with data). Median for this group: $2,269. Middle half: $1,181 to $4,774.
Too few clinicians listed under General Practice in Coamo have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under General Practice in Coamo, PR (2024, 15 clinicians with data). Median for this group: 2,272. Middle half: 937 to 6,937.
Close to the middle for clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: 1,253. Middle half: 239 to 5,097.
Part D drug cost
Close to the middle for clinicians listed under General Practice in Coamo, PR (2024, 15 clinicians with data). Median for this group: $48,307. Middle half: $18,604 to $348,127.
Close to the middle for clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: $34,007. Middle half: $2,958 to $213,188.
23 active clinicians are listed under General Practice with a practice address in Coamo, PR (4,196 in Puerto Rico).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Coamo
0% of these 23 clinicians have the CMS telehealth indicator.
26.1% of these 23 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.
-
Medicare Part B services
Medicare Part B services went from 11 in 2022 to 14 in 2024.
- 2022: 11
- 2024: 14
-
Medicare-allowed amount
Medicare-allowed amount went from $739 in 2022 to $965 in 2024.
- 2022: $739
- 2024: $965
-
Paid by Medicare
Paid by Medicare went from $589 in 2022 to $769 in 2024.
- 2022: $589
- 2024: $769
-
Medicare Part D prescriptions
Medicare Part D prescriptions went from 12 in 2020 to 1,378 in 2024.
- 2020: 12
- 2021: 342
- 2022: 342
- 2023: 630
- 2024: 1,378
-
30-day fills
30-day fills went from 12 in 2020 to 1,426 in 2024.
- 2020: 12
- 2021: 344
- 2022: 342
- 2023: 638
- 2024: 1,426
-
Part D drug cost
Part D drug cost went from $48 in 2020 to $26,863 in 2024.
- 2020: $48
- 2021: $2,241
- 2022: $2,352
- 2023: $4,706
- 2024: $26,863
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $46.56 in 2023 to $198.16 in 2025.
- 2023: $46.56
- 2024: $53.03
- 2025: $198.16
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 ยท 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 โ December 31, 2025): fewer than 11 records totaling $198.16.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Olympus Latin America, Inc. |
Food and Beverage
In-kind items and services
|
EVIS EXERA II ULTRASOUND GASTROVIDEOSCOPE | General | $146.86 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
โ | General | $51.30 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ2023 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 โ by Provider and Service data, 2022โ2024; 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 |
|---|---|---|---|---|
|
99283
Emergency department visit with low level of medical decision making
|
14 | 14 | $72.94 | $68.93 |
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 |
|---|---|---|---|---|---|
| Famotidine | Famotidine | 146 | 3,073 | $596.69 | 93 |
| Diclofenac Sodium | Diclofenac Sodium | 92 | 726 | $491.60 | 90 |
| Dicyclomine Hcl | Dicyclomine Hcl | 84 | 495 | $440.26 | 78 |
| Prednisone | Prednisone | 80 | 410 | $255.25 | 77 |
| Atorvastatin Calcium | Atorvastatin Calcium | 50 | 1,659 | $262.80 | 13 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 48 | 359 | $149.93 | 48 |
| Losartan Potassium | Losartan Potassium | 48 | 1,560 | $313.14 | 11 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 43 | 301 | $165.90 | 42 |
| Lisinopril | Lisinopril | 42 | 1,250 | $184.53 | โ |
| Metformin Hcl | Metformin Hcl | 42 | 1,250 | $163.87 | โ |
| Synthroid | Levothyroxine Sodium | 39 | 1,290 | $2,105.70 | 11 |
| Metoclopramide Hcl | Metoclopramide Hcl | 37 | 185 | $139.60 | 35 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 37 | 264 | $581.41 | 36 |
| Simvastatin | Simvastatin | 35 | 1,222 | $158.95 | โ |
| Azithromycin | Azithromycin | 31 | 156 | $207.41 | 31 |
| Trazodone Hcl | Trazodone Hcl | 30 | 982 | $144.60 | โ |
| Orphenadrine Citrate Er | Orphenadrine Citrate | 29 | 203 | $468.66 | 28 |
| Gabapentin | Gabapentin | 28 | 650 | $175.15 | 13 |
| Tamsulosin Hcl | Tamsulosin Hcl | 28 | 682 | $136.86 | โ |
| Clindamycin Hcl | Clindamycin Hcl | 26 | 182 | $329.84 | 26 |
| Omeprazole | Omeprazole | 25 | 656 | $110.81 | โ |
| Metoprolol Tartrate | Metoprolol Tartrate | 24 | 720 | $81.37 | โ |
| Levothyroxine Sodium | Levothyroxine Sodium | 24 | 714 | $153.24 | โ |
| Jardiance | Empagliflozin | 23 | 810 | $16,675.08 | โ |
| Meclizine Hcl | Meclizine Hcl | 22 | 112 | $116.72 | 20 |
(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: 2023-12-17NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL PRACTICE
I20201016002317
PR
4284054016
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 19 CALLE BALDORIOTY, COAMO, PR 007692412 (Tel: 9394060643)
Registered at 19 CALLE BALDORIOTY, COAMO, PR 007692412 (Tel: 9394060643)
General Practice (license number reported to NPPES: PR 21997)
NPI status registered as active in NPPES database
Registered at URB. COLINAS VERDES CALLE #1, L4, SAN SEBASTIAN, PR 00685 (Tel: 7874306451)
Registered at URB. COLINAS VERDES CALLE #1, L4, SAN SEBASTIAN, PR 00685 (Tel: 7874306451)
Recorded as NELSON VALENTIN, MD
General Practice (license number reported to NPPES: PR 15176-I)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Coamo
- Dr. Wilfredo Paoli Lopez, MD
- Dr. Javier Echevarria, MD
- Dr. Laura Torres Rosado, MD
- Dr. Javier Morales, MD
- Dr. Luis Rivera-Guilbe, MD
- Angel Santiago Ramos
Mailing Address
19 Calle Baldorioty
Coamo, PR 007692412
Phone: 9394060643