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VALERIE ELLEN GUTTERMAN M.D.
NPI 1518025840
Internal Medicine in New York, NY

Active since December 06, 2006PECOS Enrolled
9.19/100
CMS Quality Rating
420 LEXINGTON AVE, SUITE 1644, NEW YORK, NY 10170(212) 861-3313(212) 987-2394 Get Directions Write a Review

NPPES record last updated: June 3, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Valerie Ellen Gutterman M.d. NPPES

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

VALERIE ELLEN GUTTERMAN M.D. (NPI 1518025840) is an individual internal medicine provider in New York, New York, licensed in New York (179665) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518025840
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameVALERIE ELLEN GUTTERMANCredential: M.D.
Location Address420 LEXINGTON AVE, SUITE 1644New York, NY 10170-0002
Mailing Address420 Lexington Ave, Suite 1644New York, NY 10170-0002 · (212) 861-3313 · Fax (212) 987-2394
Phone(212) 861-3313
Fax(212) 987-2394
Sole ProprietorYes
Enumeration DateDecember 6, 2006
Last NPPES UpdateJune 3, 2011
✔ NPI 1518025840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 179665
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
420 LEXINGTON AVE, New York, NY 10170
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified02H941NY
Medicaid01500930NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Valerie Ellen Gutterman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Valerie Gutterman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lyons Medical Care, PLLC
13 mi
Internal Medicine
125 PARK DR
Bronx, NY 10464
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1245415991 (917) 576-6895

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
1,660 services220 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
70 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10170 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

9.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost30.65

Referred Medical Equipment & Supplies CMS DME claims 5

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier24 claims24 services$45.21 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier15 claims15 services$37.56 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers14 claims1,350 services$0.09 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$11.56 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers17 claims17 services$24.54 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 20

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

ALEXIS AHERN
Physical Therapist
420 LEXINGTON AVE
NEW YORK, NY 10170
New York County (212) 973-0655
ROBERT ORTIZ PT
Physical Therapist (Orthopedic)
420 LEXINGTON AVE, SUITE 233
NEW YORK, NY 10170
New York County (212) 697-3438
GRAND CENTRAL HAND THERAPY CENTER
Physical Therapist (Hand)
420 LEXINGTON AVE, SUITE #1714
NEW YORK, NY 10170
New York County (212) 697-3438
DR. PAUL J KANTROWICH O.D.
Optometrist (Corneal and Contact Management)
420 LEXINGTON AVE
NEW YORK, NY 10170
New York County (212) 697-0777
DAVID RICCI OT
Occupational Therapist
420 LEXINGTON AVE, SUITE 233
NEW YORK, NY 10170
New York County (212) 697-3438
DR. SHARON LIANA HUANG DDS
Dentist
420 LEXINGTON AVE, SUITE 228
NEW YORK, NY 10170
New York County (212) 804-8884
DR. SULTAN SALEM DDS
Dentist
420 LEXINGTON AVE, 228
NEW YORK, NY 10170
New York County (212) 991-0661
JENA ROE PT, DPT
Physical Therapist
420 LEXINGTON AVE, 2ND FLOOR
NEW YORK, NY 10170
New York County (212) 973-0655

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 Valerie Gutterman's NPI number?

The NPI number for Valerie Gutterman is 1518025840. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Valerie Gutterman located?

Valerie Gutterman practices at 420 Lexington Ave Suite 1644, New York, NY 10170. The listed phone number is (212) 861-3313.

What is Valerie Gutterman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Valerie Gutterman enrolled in Medicare?

Yes. Valerie Gutterman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Valerie Gutterman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Valerie Gutterman reassigns Medicare benefits to Lyons Medical Care, PLLC (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Valerie Gutterman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Valerie Gutterman was last updated on June 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.