NPPES file of Aug 9, 2026

Gregg A. Valenzuela, M.D.

Gastroenterology Physician · Richmond, VA

Gregg A. Valenzuela, M.D. is a gastroenterology physician with a practice address in Richmond, Virginia, and NPI 1942250188, issued on May 10, 2006. Check the license (Virginia 0101036504, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1942250188
Name
Gregg A. Valenzuela
Credential
M.D.
Primary taxonomy
Gastroenterology Physician 207RG0100X
License number
0101036504 VA
Self-reported in NPPES; status is on the state search
Practice location
7702 E Parham RD, Richmond, VA 23294
Phone
(804) 288-7901
Enumerated
May 10, 2006
Record last updated
May 1, 2017 (not updated in 9 years: call before relying on the address or phone)
Fax
(804) 273-9167
Medicaid ID
5857449 VA
Medicare enrollment
Enrolled (PECOS I20250227002035); accepts Medicare assignment
Medical or professional school
University Of Virginia School Of Medicine, 1978
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 7702 E Parham RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Hilton Almond, MDGastroenterology Physician1790782589
  2. Minh Bui, MDCardiovascular Disease Physician1396811600
  3. Elizabeth Crognale, M.D.Internal Medicine Physician1396794905
  4. Charles Gould, M.D.Vascular Surgery Physician1326078874
  5. Jennifer Hallock, N.P.Nurse Practitioner1316194830
  6. Robert Levitt, MDCardiovascular Disease Physician1700959459

Verify Gregg A. Valenzuela in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101036504
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Virginia license search

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74% fewer Medicare Part D claims than the average gastroenterology physician in 2024

208 Medicare Part D claims for 109 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims.

  1. Gregg Valenzuela208
  2. Specialty average811

Most prescribed

  1. Pantoprazole Sodium55 claims
  2. Esomeprazole Magnesium32 claims
  3. Gavilyte-G24 claims
  4. Famotidine18 claims
  5. Peg-3350 And Electrolytes17 claims
  6. Sod Sulf-Potass Sulf-Mag Sulf12 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 97.6 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score86.5
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $241.14

11 payments; by number, the most common kind was food and beverage; the largest payer was Janssen Biotech, Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Gregg Valenzuela$241.14
  2. Specialty average$5,015.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Stillwater Medical Center AuthorityStillwater, OK

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Gregg A. Valenzuela among 536 gastroenterology physician records in Virginia

Gregg A. Valenzuela, M.D. is one of 536 gastroenterology physician records with a practice address in Virginia. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 17% of them.

  • NPI issued2006 · 17% of these records are older, 46% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 73% of these records are
  • Graduated1978 · median 2001 among the 389 with a school on file
  • Record last updated2017 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gastroenterology Physician providers in Virginia

There are 536 gastroenterology physician records in Virginia.

The 8 gastroenterology physician records with the nearest ZIP codes

  1. Hilton Almond, MDRichmond, VA 232941790782589
  2. Joseph Longacher, MDRichmond, VA 232941215934013
  3. Jasmohan Bajaj, MDRichmond, VA 232981467403881
  4. Doumit Bouhaidar, M.D.Richmond, VA 232981720172034
  5. Iliana Bouneva, MDRichmond, VA 232981770591166
  6. John Kuemmerle, M.D.Richmond, VA 232981356431902
  7. Hannah Lee, MDRichmond, VA 232981275570988
  8. Velimir Luketic, M.D.Richmond, VA 232981811081128

Common questions

What is Gregg A. Valenzuela, M.D.'s NPI number?

Gregg A. Valenzuela, M.D.'s National Provider Identifier (NPI) is 1942250188, issued on May 10, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Gregg A. Valenzuela, M.D. located?

The NPPES record lists a practice address at 7702 E Parham RD, Richmond, VA, 23294. Phone: (804) 288-7901. Providers update this record themselves, so call before visiting.

How can I verify Gregg A. Valenzuela, M.D.'s license?

NPPES lists Virginia license number 0101036504, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Gregg A. Valenzuela, M.D. prescribe under Medicare Part D?

In 2024, Gregg A. Valenzuela, M.D. had 208 Medicare Part D claims for 109 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

What is Gregg A. Valenzuela, M.D.'s MIPS final score?

The 2023 MIPS final score is 97.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.