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JOSEPH VALENTINO MD
NPI 1376581496
Otolaryngology in Lexington, KY

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 ROSE ST., WHITNEY HENDRICKSON BLDG ROOM 305, LEXINGTON, KY 40536(859) 218-2455(859) 257-0062 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph Valentino Md NPPES

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

JOSEPH VALENTINO MD (NPI 1376581496) is an individual otolaryngology provider in Lexington, Kentucky, licensed in Kentucky (29576) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Rutgers School Of Dental Medicine (1987).

NPPES Registry Identity

NPI1376581496
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJOSEPH VALENTINOCredential: MD
Location Address800 ROSE ST., WHITNEY HENDRICKSON BLDG ROOM 305Lexington, KY 40536
Mailing Address800 Rose St., Whitney Hendrickson Bldg Room 305Lexington, KY 40536 · (859) 218-2455 · Fax (859) 257-0062
Phone(859) 218-2455
Fax(859) 257-0062
Sole ProprietorNo
Medical School CMSRutgers School Of Dental MedicineGraduated 1987
Enumeration DateJune 2, 2006
Last NPPES UpdateOctober 24, 2013
✔ NPI 1376581496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in KY · 29576
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
800 ROSE ST., Lexington, KY 40536
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified0054854
Medicare ID-Type Unspecified64295769KY
Medicare UPINE51961

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Joseph Valentino 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 ID3274595293
PECOS Enrollment IDI20041102000564
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 4

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.
98 services68 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.
86 services61 patients
Insertion of stomach tube using a flexible endoscope 43246
This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to insert a stomach tube. It helps doctors view and access your stomach without surgery. It's typically performed under sedation to ensure comfort.
15 services15 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 13

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

Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims1,150 services$0.23 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier13 claims1,650 services$0.21 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
5 suppliers13 claims61 services$7.72 avg. paid by Medicare
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507
DME-Orthotic Devices · category DF000N
1 supplier23 claims2,760 services$2.33 avg. paid by Medicare
Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each A7508
DME-Orthotic Devices · category DF000N
1 supplier11 claims1,290 services$2.79 avg. paid by Medicare
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each A7520
DME-Orthotic Devices · category DF000N
2 suppliers21 claims21 services$39.33 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 5

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

DR. LUIS MARIO SAMAYOA MD
Pathology (Anatomic Pathology)
800 ROSE ST.
LEXINGTON, KY 40536
Fayette County (859) 323-5425
EMILY CASSIM MD
Student in an Organized Health Care Education/Training Program
800 ROSE ST., MN 275
LEXINGTON, KY 40536
Fayette County (859) 323-6162
DR. BONNIE MITCHELL MD
Pathology (Anatomic Pathology)
800 ROSE ST.
LEXINGTON, KY 40536
Fayette County (859) 323-5425
MEGAN ELIZABETH SWEENEY
Student in an Organized Health Care Education/Training Program
800 ROSE ST., MN 275
LEXINGTON, KY 40536
Fayette County (859) 323-6162
DR. NASIR HAMEED SIDDIQI MD
Radiology (Vascular & Interventional Radiology)
800 ROSE ST.
LEXINGTON, KY 40536
Fayette County (859) 323-5069

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 Joseph Valentino's NPI number?

The NPI number for Joseph Valentino is 1376581496. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Joseph Valentino located?

Joseph Valentino practices at 800 Rose St. Whitney Hendrickson Bldg Room 305, Lexington, KY 40536. The listed phone number is (859) 218-2455.

What is Joseph Valentino's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Joseph Valentino enrolled in Medicare?

Yes. Joseph Valentino 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.

What insurance does Joseph Valentino accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Joseph Valentino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joseph Valentino affiliated with any hospitals?

According to CMS data, Joseph Valentino is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Valentino was last updated on October 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.