Jose Rafael Valladares Arias, M.D.
Surgery Physician · Somerset, PA
Jose Rafael Valladares Arias, M.D. is a surgery physician with a practice address in Somerset, Pennsylvania, and NPI 1043467624, issued on Aug 26, 2008. Check the license (Pennsylvania MD449719, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Jose Rafael Valladares Arias
- Credential
- M.D.
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- MD449719 PA
Self-reported in NPPES; status is on the state search - Practice location
- 138 Forbes St, Somerset, PA 15501
- Phone
- (814) 701-2696
- Enumerated
- Aug 26, 2008
- Record last updated
- Sep 3, 2013 (not updated in 13 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20131021001611); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 1,867 in Pennsylvania → Look up another NPI →
Verify Jose Rafael Valladares Arias in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD449719Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
33% more Medicare Part D claims than the average surgery physician in 2024
196 Medicare Part D claims for 111 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims. 45 claims were for opioids.
Most prescribed
- Pantoprazole Sodium60 claims
- Tramadol Hcl42 claims
- Sucralfate23 claims
- Famotidine11 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 practice group's MIPS final score for 2023 (Medicare payment program): 87.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $89.06
3 payments; by number, the most common kind was food and beverage; the largest payer was Ethicon US, LLC. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
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
- Somerset Health Services IncSomerset, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jose Rafael Valladares Arias among 1,867 surgery physician records in Pennsylvania
Jose Rafael Valladares Arias, M.D. is one of 1,867 surgery physician records with a practice address in Pennsylvania. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 43% of them.
- NPI issued2008 · 43% of these records are older, 51% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2006 · median 2007 among the 932 with a school on file
- Record last updated2013 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
7 surgery physician records list a practice address in Somerset
They are 7 of the 424 NPPES records with a practice address in Somerset, and 1,867 surgery physician records in Pennsylvania.
All 1,867 in Pennsylvania → Every provider in Somerset → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Peter Go, MDSomerset, PA 155011861472680
- Salvatore Lanasa, MDSomerset, PA 155011720192404
- Taesun Moon, D.O.Somerset, PA 155011760595755
- Victor Novak, MDSomerset, PA 155011356302855
- Godwin Packiaraj, M.DSomerset, PA 155011982398384
- Joseph Zitarelli, M.D.Somerset, PA 155011720012966
- Timothy Horsky, D.O.Everett, PA 155371578519096
- James Vreeland, MDEverett, PA 155371962403022
Common questions
What is Jose Rafael Valladares Arias, M.D.'s NPI number?
Jose Rafael Valladares Arias, M.D.'s National Provider Identifier (NPI) is 1043467624, issued on Aug 26, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Jose Rafael Valladares Arias, M.D. located?
The NPPES record lists a practice address at 138 Forbes St, Somerset, PA, 15501. Phone: (814) 701-2696. Providers update this record themselves, so call before visiting.
How can I verify Jose Rafael Valladares Arias, M.D.'s license?
NPPES lists Pennsylvania license number MD449719, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Jose Rafael Valladares Arias, M.D. prescribe under Medicare Part D?
In 2024, Jose Rafael Valladares Arias, M.D. had 196 Medicare Part D claims for 111 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Jose Rafael Valladares Arias, M.D.'s MIPS final score?
The 2023 MIPS final score is 87.2 of 100, reported for the practice group. 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.