MR. JOHN R VALVO MD
NPI 1043235138
Urology in Rochester, NY

Active since July 12, 2006PECOS Enrolled
95.19/100
CMS Quality Rating
2615 CULVER RD, SUITE 100, ROCHESTER, NY 14609(585) 336-5320(585) 336-9114 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2021, Nov 20, 2019 (2 updates tracked since 2019).

About Mr. John R Valvo Md NPPES

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

MR. JOHN R VALVO MD (NPI 1043235138) is an individual urology provider in Rochester, New York, licensed in New York (138654) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1043235138
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMR. JOHN R VALVOCredential: MD
Location Address2615 CULVER RD, SUITE 100Rochester, NY 14609-1746
Mailing Address2615 Culver Rd, Suite 100Rochester, NY 14609-1746 · (585) 336-5320 · Fax (585) 336-9114
Fax(585) 336-9114
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateMay 19, 20212 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
NPI 1043235138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in NY · 138654 Licensed in NY · 138654-1
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

2615 CULVER RD, Rochester, NY 14609

Secondary Practice Location 1

Location 1220 Linden Oaks Ste 100Rochester, NY 14625-2839 · Phone (585) 248-2019 · Fax (585) 586-1755

Other Identifiers 1

Medicaid752112NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. John R Valvo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
124 services102 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services27 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
17 services15 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
15 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14609 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers13 claims3,100 services$1.43 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers11 claims40 services$7.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner (Adult Health)
2615 CULVER RD
ROCHESTER, NY 14609
Nurse Practitioner (Family)
2615 CULVER RD
ROCHESTER, NY 14609
Urology
2615 CULVER RD
ROCHESTER, NY 14609
Urology
2615 CULVER RD, SUITE 100
ROCHESTER, NY 14609
Urology
2615 CULVER RD
ROCHESTER, NY 14609
Physician Assistant
2615 CULVER RD
ROCHESTER, NY 14609
Urology
2615 CULVER RD
ROCHESTER, NY 14609
Urology
2615 CULVER RD, SUITE 100
ROCHESTER, NY 14609

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 John Valvo's NPI number?

The NPI number for John Valvo is 1043235138. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is John Valvo located?

John Valvo practices at 2615 Culver Rd Suite 100, Rochester, NY 14609. The listed phone number is (585) 336-5320.

What is John Valvo's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is John Valvo enrolled in Medicare?

Yes. John Valvo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Valvo was last updated on May 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.