HUGO VALENCIA M.D.
NPI 1265721344
Internal Medicine - Hematology & Oncology in Rochester, NY

Active since March 29, 2011PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
211 WHITE SPRUCE BLVD STE A, ROCHESTER, NY 14623(585) 475-8700(585) 475-9411 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, Sep 26, 2018 (2 updates tracked since 2018).

About Hugo Valencia M.d. NPPES

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

HUGO VALENCIA M.D. (NPI 1265721344) is an individual hematology & oncology provider in Rochester, New York, licensed in New York (269491) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Geneva General Hospital, and is a graduate of University Of Vermont College Of Medicine (2011).

NPPES Registry Identity

NPI1265721344
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameHUGO VALENCIACredential: M.D.
Location Address211 WHITE SPRUCE BLVD STE ARochester, NY 14623-1618
Mailing Address211 White Spruce Blvd Ste ARochester, NY 14623-1618 · (585) 475-8700 · Fax (585) 475-9411
Fax(585) 475-9411
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2011
Enumeration DateMarch 29, 2011
Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration
NPI 1265721344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NY · 269491
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedHospitalistTaxonomy 208M00000X · License 269491 (NY)
211 WHITE SPRUCE BLVD STE A, Rochester, NY 14623

Other Identifiers 1

Medicaid03919757NY

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

Hugo Valencia M.d. 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 ID7618192758
PECOS Enrollment IDI20140707000189
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 3

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
247 services91 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
94 services62 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.
79 services66 patients

Hospital Affiliations CMS Care Compare 5

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

Geneva General Hospital

Acute Care Hospitals · Geneva, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330058
Location196 -198 North StreetGeneva, NY 14456 · Ontario County
Emergency services

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

Clifton Springs Hospital And Clinic

Acute Care Hospitals · Clifton Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330265
Location2 Coulter RoadClifton Springs, NY 14432 · Ontario County
Emergency services

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Soldiers And Sailors Memorial Hospital Of Yates

Critical Access Hospitals · Penn Yan, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331314
Location418 North Main StreetPenn Yan, NY 14527 · Yates County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14623 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
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.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.2
Promoting Interoperability100
Improvement Activities40
Cost42.68

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.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier22 claims1,362 services$0.61 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier14 claims14 services$16.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Hugo Valencia's NPI number?

The NPI number for Hugo Valencia is 1265721344. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Hugo Valencia located?

Hugo Valencia practices at 211 White Spruce Blvd Ste A, Rochester, NY 14623. The listed phone number is (585) 475-8700.

What is Hugo Valencia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Hugo Valencia enrolled in Medicare?

Yes. Hugo Valencia 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 Hugo Valencia affiliated with any hospitals?

According to CMS data, Hugo Valencia is affiliated with Geneva General Hospital, F F Thompson Hospital, Clifton Springs Hospital And Clinic, Strong Memorial Hospital and Soldiers And Sailors Memorial Hospital Of Yates.

When was this NPI record last updated?

The NPPES record for Hugo Valencia was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.