MRS. KATHLEEN R VAN VALKENBURG MD
NPI 1316037369
Ophthalmology in Smithtown, NY

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
260 E MIDDLE COUNTRY RD, SUITE 201, SMITHTOWN, NY 11787(631) 265-8780 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kathleen R Van Valkenburg Md NPPES

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

MRS. KATHLEEN R VAN VALKENBURG MD (NPI 1316037369) is an individual ophthalmology provider in Smithtown, New York, licensed in New York (176461) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1987).

NPPES Registry Identity

NPI1316037369
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMRS. KATHLEEN R VAN VALKENBURGCredential: MD
Location Address260 E MIDDLE COUNTRY RD, SUITE 201Smithtown, NY 11787-2982
Mailing Address520 Franklin Avenue, Suite 251Garden City, NY 11530 · (631) 265-8780
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 1987
Enumeration DateOctober 13, 2006
Last NPPES UpdateDecember 14, 2016
NPI 1316037369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 176461
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedSpecialistTaxonomy 174400000X · License 176461 (NY)
260 E MIDDLE COUNTRY RD, Smithtown, NY 11787

Other Identifiers 3

Medicare PIN79F931NY
Medicare UPINE84076NY
Medicare ID-Type Unspecified79F931NY

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

Mrs. Kathleen R Van Valkenburg 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 ID4486835295
PECOS Enrollment IDI20110228000604
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 16

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.
512 services477 patients
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.
323 services235 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
151 services133 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
143 services140 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
138 services132 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
128 services128 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Pediatrics
260 E MIDDLE COUNTRY RD
SMITHTOWN, NY 11787
Internal Medicine (Cardiovascular Disease)
260 E MIDDLE COUNTRY RD, SUITE 214
SMITHTOWN, NY 11787
Audiologist
260 E MIDDLE COUNTRY RD, SUITE 201
SMITHTOWN, NY 11787
Nurse Practitioner (Family)
260 E MIDDLE COUNTRY RD
SMITHTOWN, NY 11787
Nurse Practitioner (Family)
260 E MIDDLE COUNTRY RD
SMITHTOWN, NY 11787
Ophthalmology
260 E MIDDLE COUNTRY RD, SUITE 201
SMITHTOWN, NY 11787
Ophthalmology
260 E MIDDLE COUNTRY RD, SUITE 201
SMITHTOWN, NY 11787
Nurse Practitioner (Adult Health)
260 E MIDDLE COUNTRY RD
SMITHTOWN, NY 11787

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 Kathleen Van Valkenburg's NPI number?

The NPI number for Kathleen Van Valkenburg is 1316037369. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Kathleen Van Valkenburg located?

Kathleen Van Valkenburg practices at 260 E Middle Country Rd Suite 201, Smithtown, NY 11787. The listed phone number is (631) 265-8780.

What is Kathleen Van Valkenburg's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kathleen Van Valkenburg enrolled in Medicare?

Yes. Kathleen Van Valkenburg 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.

When was this NPI record last updated?

The NPPES record for Kathleen Van Valkenburg was last updated on December 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.