REBECCA LAVALLEY MD
NPI 1356600449
Family Medicine in Utica, NY

Active since May 09, 2012PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
6 HAMPDEN PL, UTICA, NY 13502(315) 733-2526(315) 733-2846 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rebecca Lavalley Md NPPES

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

REBECCA LAVALLEY MD (NPI 1356600449) is an individual family medicine provider in Utica, New York, licensed in New York (281119) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of State University Of Ny Upstate Medical University (2012).

NPPES Registry Identity

NPI1356600449
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameREBECCA LAVALLEYCredential: MD
Location Address6 HAMPDEN PLUtica, NY 13502-5631
Mailing Address6 Hampden PlUtica, NY 13502-5631 · (315) 733-2526 · Fax (315) 733-2846
Fax(315) 733-2846
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2012
Enumeration DateMay 9, 2012
Last NPPES UpdateMarch 8, 2016
NPI 1356600449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 281119
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 HAMPDEN PL, Utica, NY 13502

Other Identifiers 2

Medicaid04270909NY
Medicare UPINJ400254457NY

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

Rebecca Lavalley 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 ID8224347497
PECOS Enrollment IDI20151029000978
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 7

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, 20-29 minutes 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.
119 services82 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
42 services42 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
18 services13 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services15 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
15 services14 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.52
Promoting Interoperability99
Improvement Activities40
Cost64.49

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
6 HAMPDEN PL
UTICA, NY 13502
Family Medicine
6 HAMPDEN PL
UTICA, NY 13502
Physician Assistant
6 HAMPDEN PL
UTICA, NY 13502
Nurse Practitioner (Family)
6 HAMPDEN PL
UTICA, NY 13502
Internal Medicine (Infectious Disease)
6 HAMPDEN PL
UTICA, NY 13502
Internal Medicine
6 HAMPDEN PL
UTICA, NY 13502

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 Rebecca Lavalley's NPI number?

The NPI number for Rebecca Lavalley is 1356600449. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Rebecca Lavalley located?

Rebecca Lavalley practices at 6 Hampden Pl, Utica, NY 13502. The listed phone number is (315) 733-2526.

What is Rebecca Lavalley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rebecca Lavalley enrolled in Medicare?

Yes. Rebecca Lavalley 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 Rebecca Lavalley affiliated with any hospitals?

According to CMS data, Rebecca Lavalley is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Rebecca Lavalley was last updated on March 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.