DR. EDWARD VENTRESCA MD
NPI 1154395648
Internal Medicine - Pulmonary Disease in Niagara Falls, NY

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
90.03/100
CMS Quality Rating
10175 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304(716) 285-0853(716) 322-3283 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, May 28, 2025 (2 updates tracked since 2025).

About Dr. Edward Ventresca Md NPPES

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

DR. EDWARD VENTRESCA MD (NPI 1154395648) is an individual pulmonary disease provider in Niagara Falls, New York, licensed in New York (191202) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Niagara Falls Memorial Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1154395648
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. EDWARD VENTRESCACredential: MD
Location Address10175 NIAGARA FALLS BLVDNiagara Falls, NY 14304-2941
Mailing Address199 Park Club Ln, Ste 500Williamsville, NY 14221-5269 · (716) 845-1300 · Fax (716) 298-8136
Fax(716) 322-3283
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJune 27, 20252 updates tracked since enumeration
NPI 1154395648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 191202
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 191202 (NY)
10175 NIAGARA FALLS BLVD, Niagara Falls, NY 14304

Other Identifiers 1

Medicaid01419974NY

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. Edward Ventresca Md 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 ID9931164506
PECOS Enrollment IDI20090616000012
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 12

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.
239 services157 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
142 services137 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
127 services125 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
126 services124 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
24 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Niagara Falls Memorial Medical Center

Acute Care Hospitals · Niagara Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330065
Location621 Tenth StreetNiagara Falls, NY 14302 · Niagara County
Emergency services Birthing friendly

Bertrand Chaffee Hospital

Acute Care Hospitals · Springville, NY
OwnershipVoluntary non-profit - Church
CMS Certification Number330111
Location224 East Main StreetSpringville, NY 14141 · Erie County
Emergency services

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14304 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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.

90.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.88
Improvement Activities40
Cost63.01

Referred Medical Equipment & Supplies CMS DME claims 23

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers59 claims59 services$31.90 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers11 claims26 services$1.27 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers61 claims61 services$68.49 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers61 claims146 services$26.44 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers53 claims196 services$15.89 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers24 claims117 services$11.46 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 10

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

Registered Nurse
10175 NIAGARA FALLS BLVD
NIAGARA FALLS, NY 14304
Dietitian, Registered
10175 NIAGARA FALLS BLVD
NIAGARA FALLS, NY 14304
Internal Medicine
10175 NIAGARA FALLS BLVD
NIAGARA FALLS, NY 14304
Urology
10175 NIAGARA FALLS BLVD
NIAGARA FALLS, NY 14304
Dietitian, Registered
10175 NIAGARA FALLS BLVD
NIAGARA FALLS, NY 14304
Internal Medicine
10175 NIAGARA FALLS BLVD
NIAGARA FALLS, NY 14304
Internal Medicine
10175 NIAGARA FALLS BLVD
NIAGARA FALLS, NY 14304
Registered Nurse (General Practice)
10175 NIAGARA FALLS BLVD
NIAGARA FALLS, NY 14304

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 Edward Ventresca's NPI number?

The NPI number for Edward Ventresca is 1154395648. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Edward Ventresca located?

Edward Ventresca practices at 10175 Niagara Falls Blvd, Niagara Falls, NY 14304. The listed phone number is (716) 285-0853.

What is Edward Ventresca's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Edward Ventresca enrolled in Medicare?

Yes. Edward Ventresca 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.

Is Edward Ventresca affiliated with any hospitals?

According to CMS data, Edward Ventresca is affiliated with Niagara Falls Memorial Medical Center, Bertrand Chaffee Hospital and Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for Edward Ventresca was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.