2026 NPPES data Pediatrics Physician NPI 1649478389 MD
Verify on CMS →

Judith Valencia, MD

Pediatrics Physician in Miami, Florida.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 80,576 in Pediatrics Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
9K
Medicare Part D claims · 445 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
87%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$133.83
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Judith Valencia, MD filed 8,940 Medicare Part D claims in 2023 as a Pediatrics Physician in Miami, Florida, prescribing 87% generic.

9K
Part D claims, 2023
87%
generic prescribing
$133.83
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Judith Valencia, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

8,940 Top 2% higher than 98% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2K+: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic, not verified)

Judith Valencia, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Judith Valencia, MD?

Quality data not reported

NPI registry status

Active

Issued 07/03/2007

NPI 1649478389

Primary specialty

Pediatrics Physician

High-volume

80,576 US NPIs in this specialty

Medicare Part D claims

8,940 12× vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Florida

How Pediatrics Physician compares to other specialties among Florida providers

Florida providers
Behavior Technician16.1%Mental Health Counselor4.8%Family Nurse Practitioner4.5%Pharmacist4.2%Student in an Organized Heal…3.8%Physical Therapist3.1%Pediatrics Physician0.9%
Largest specialties in Florida (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatrics Physician. Verify directly:

How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Judith Valencia, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 9804 SW 40TH ST, Miami, FL, 33165, with a listed phone of (305) 222-9154. NPI 1649478389 was issued on 07/03/2007.

Medicare Part D records for calendar year 2023 show 8,940 prescription claims written by this provider, covering 445 Medicare beneficiaries and totaling roughly $694K in drug spend, split 12% brand-name and 87% generic by claim count, with an opioid prescribing rate of 0.4%.

Pediatrics Physician is a high-volume specialty nationwide, with 80,576 enrolled providers across 56 states and an average of 762 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.

Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

9804 SW 40TH ST
Miami, FL 33165

Provider Details

NPI 1649478389
Specialty Pediatrics Physician
Credentials MD
Gender Female
NPI Issued 07/03/2007

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Judith Valencia, MD. Source: openpaymentsdata.cms.gov.

Total received

$134

Largest payer

AstraZeneca Pharmaceuticals LP

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Florida FLDOH 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 - they are NOT specific to Judith Valencia, MD. To verify Judith Valencia, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Judith Valencia, MD - brand share 12.0%
Pediatrics Physician average

12% brand-name claims vs 87% generic, on 8,940 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

8,940
Total Claims
$694K
Total Drug Cost
445
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
19,400
Total Day Supply
561,675
Brand vs Generic
12% brand / 87% generic
Brand Drug Cost
$519K
Generic Drug Cost
$171K
Opioid Claims
35 (0.4% rate)
Antibiotic Claims
527

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
1.37
Gender Split
67% female / 33% male
Age Distribution
<65: 24, 65-74: 258, 75-84: 137, 85+: 26

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Judith Valencia, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
416
Losartan Potassium
395
Lisinopril
303
Rosuvastatin Calcium
285
Famotidine
250
Metformin Hcl
211
Levothyroxine Sodium
190
Metoprolol Succinate
189
Azithromycin
167
Hydrochlorothiazide
164

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatrics Physician Overview

How Judith Valencia, MD fits within the Pediatrics Physician landscape nationally.

80,576
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

Judith Valencia, MD's 8,940 claims are above the specialty average of 762.

Nearby Pediatrics Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Valencia.

Compare Pediatrics Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Florida medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pediatrics Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Judith Valencia, MD's specialty?
Judith Valencia, MD specializes in Pediatrics Physician and practices in Miami, Florida. Credentials: MD.
How much does Judith Valencia, MD prescribe under Medicare Part D?
In 2023, Judith Valencia, MD wrote 8,940 Medicare Part D claims totaling $694K in drug costs for 445 beneficiaries.
Where is Judith Valencia, MD located?
Judith Valencia, MD is located at 9804 SW 40TH ST, Miami, FL, 33165. Phone: (305) 222-9154.
What is Judith Valencia, MD's NPI number?
Judith Valencia, MD's National Provider Identifier (NPI) is 1649478389, issued on 07/03/2007.
Does Judith Valencia, MD prescribe more brand-name or generic drugs?
Judith Valencia, MD's prescribing is 12% brand-name and 87% generic drugs by claim count, with $519K in brand drug costs.
Does Judith Valencia, MD prescribe opioids?
Yes, Judith Valencia, MD had 35 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
How many Pediatrics Physician providers are there in the US?
There are 80,576 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does Judith Valencia, MD prescribe most often?
Based on 2023 Medicare Part D data, Judith Valencia, MD's most frequently prescribed drugs include Atorvastatin Calcium, Losartan Potassium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Judith Valencia, MD accept Medicare?
Judith Valencia, MD appears in CMS Medicare data with 8,940 Part D claims and 445 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Judith Valencia, MD's credentials?
Judith Valencia, MD's NPI is 1649478389 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.