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2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1104858521 MD
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Roberto Valenzuela, MD

Pain Medicine (Anesthesiology) Physician in Morgantown, West Virginia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,032 in Pain Medicine (Anesthesiology) 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.
MIPS score
94.1/100
▲ 11 pts above national avg 83.5 · Exceptional
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Roberto Valenzuela, MD reported a CMS MIPS final score of 94.1/100 - above the 83.5 national average.

94.1/100
MIPS score · +11 vs avg
Likely
board-certified (heuristic)
≥73rd
pct among measured MIPS (lower-bound band)

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.

CMS NPPES provider registry desk

NPI 1104858521 · Pain Medicine (Anesthesiology) Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-ELITE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1104858521
  • ENUM-LEGACY 2006
  • TAX-NARROW 4,032
  • MIPS-ELITE 94.1/100
  • BOOK-THIN 17 in West Virginia
  • PHOTO-FINISH Brian Chung · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Roberto Valenzuela, MD's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

94 ≥ 73rd percentile 73% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

✓
Board certification likely (heuristic, not verified)

Roberto Valenzuela, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Roberto Valenzuela, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/07/2006

NPI 1104858521

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,032 US NPIs in this specialty

MIPS final score

94.1/100 10.6 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in West Virginia

How Pain Medicine (Anesthesiology) Physician compares to other specialties among West Virginia providers

West Virginia providers
Personal Care Attendant38.4%Home Health Aide8.2%Community Health Worker5.2%Homemaker3.1%Pharmacist3%Student in an Organized Heal…2.9%Pain Medicine (Anesthesiolog…0%
Largest specialties in West Virginia (% of in-state providers)

Medicare quality performance, MIPS

Roberto Valenzuela, MD's 2023 MIPS final score plotted against the Pain Medicine (Anesthesiology) Physician national average

High performer (top quartile)
MIPS Final Score
94.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%94.1%
MIPS final score (Pain Medicine (Anesthesiology) Physician) - 94.1/100 vs national avg 83.5
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).

Practice Address

2000 MON HEALTH MEDICAL PARK DR STE 2001
Morgantown, WV 26505
(304) 720-8816

Provider Details

NPI 1104858521
Specialty Pain Medicine (Anesthesiology) Physician
Credentials MD
Gender Male
NPI Issued 07/07/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.1061
Final Score
Measured-score avg: 83.5
78.4655
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Roberto Valenzuela, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

According to CMS billing records, Roberto Valenzuela, MD is affiliated with 3 Medicare-billing facilities, 1 of which carry a CMS Hospital overall star rating.

Reynolds Memorial Hospital, Inc
★★☆☆☆ 2/5
Glen Dale, WV
Acute Care Hospitals
CMS CCN: 510013
Mid-Atlantic Anesthesia Consultants LLC
Morgantown, WV
West Virginia University Medical Corporation
Morgantown, WV

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

More Pain Medicine (Anesthesiology) Physician in WV → All providers in West Virginia → Compare specialties →

Pain Medicine (Anesthesiology) Physician Overview

How Roberto Valenzuela, MD fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,032
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider

Nationwide Pain Medicine (Anesthesiology) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Valenzuela, both outside West Virginia so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (94.1 here).

Brian Chung 94.1 IL Alyson Engle 94.1 FL Asim Khan 94.1 NJ Matthew Kominsky 94.1 IL

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Vijayasree Arvind Dallas, TX Vikas Garg Logan, UT John Knudsen Joplin, MO Yong Oh Maitland, FL

Nearby Pain Medicine (Anesthesiology) Physician Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as Valenzuela.

One of 17 Pain Medicine (Anesthesiology) Physician providers enrolled in West Virginia, 5 are shown here.

Dr. Timothy Deer
MD
Charleston, WV
Anusari Dewasurendra
Weirton, WV
Dr. Danilo Gervacio
MD
Martinsburg, WV
Dr. Nicole Hollis
D.O.
Morgantown, WV
Dr. Christopher Kim
MD
Charleston, WV

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Roberto Valenzuela, MD's specialty? ▼
Roberto Valenzuela, MD specializes in Pain Medicine (Anesthesiology) Physician and practices in Morgantown, West Virginia. Credentials: MD.
What is Roberto Valenzuela, MD's Medicare quality score? ▼
Roberto Valenzuela, MD has a CMS MIPS Final Score of 94.1/100 (Quality: 78.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Roberto Valenzuela, MD located? ▼
Roberto Valenzuela, MD is located at 2000 MON HEALTH MEDICAL PARK DR STE 2001, Morgantown, WV, 26505. Phone: (304) 720-8816.
What is Roberto Valenzuela, MD's NPI number? ▼
Roberto Valenzuela, MD's National Provider Identifier (NPI) is 1104858521, issued on 07/07/2006.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US? ▼
There are 4,032 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
Does Roberto Valenzuela, MD accept Medicare? ▼
Roberto Valenzuela, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Roberto Valenzuela, MD's credentials? ▼
Roberto Valenzuela, MD's NPI is 1104858521 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
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.