DR. VALENCIA Z LO OD
NPI 1003141011
Optometrist in Denver, CO

Active since October 08, 2009PECOS EnrolledAccepts Medicare Assignment
5560 W 44TH AVE, DENVER, CO 80212(303) 421-2424(303) 421-2155 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Valencia Z Lo Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VALENCIA Z LO OD (NPI 1003141011) is an individual optometrist in Denver, Colorado, licensed in Colorado (2750) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2009).

NPPES Registry Identity

NPI1003141011
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. VALENCIA Z LOCredential: OD
Location Address5560 W 44TH AVEDenver, CO 80212-7338
Mailing Address5560 W 44th AveDenver, CO 80212-7338 · (303) 421-2424 · Fax (303) 421-2155
Fax(303) 421-2155
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2009
Enumeration DateOctober 8, 2009
Last NPPES UpdateSeptember 30, 2015
NPI 1003141011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CO · 2750
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5560 W 44TH AVE, Denver, CO 80212

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Valencia Z Lo Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214076496
PECOS Enrollment IDI20091201000350
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%483 patients1/55-star benchmark: 87%
Diabetes: Eye Exam
66%88 patients3/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
76%33 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
87%1,378 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%72 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
70%1,360 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 74% · 69 patients
71%69 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
5560 W 44TH AVE
DENVER, CO 80212
Optometrist
5560 W 44TH AVE
DENVER, CO 80212
Optometrist
5560 W 44TH AVE
DENVER, CO 80212
Optometrist
5560 W 44TH AVE
DENVER, CO 80212
Optometrist
5560 W 44TH AVE
DENVER, CO 80212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valencia Lo's NPI number?

The NPI number for Valencia Lo is 1003141011. It was assigned to this individual provider in the NPPES registry on October 8, 2009.

Where is Valencia Lo located?

Valencia Lo practices at 5560 W 44th Ave, Denver, CO 80212. The listed phone number is (303) 421-2424.

What is Valencia Lo's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Valencia Lo enrolled in Medicare?

Yes. Valencia Lo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Valencia Lo accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Providence Health Plan and UnitedHealthcare list Valencia Lo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Valencia Lo was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.