VALERIE VELHO DENZ MD
NPI 1609893510
Internal Medicine - Pulmonary Disease in West Burlington, IA

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment
77.81/100
CMS Quality Rating
1225 S GEAR AVE, STE 304, WEST BURLINGTON, IA 52655(319) 768-3200(319) 768-3460 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Valerie Velho Denz Md NPPES

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

VALERIE VELHO DENZ MD (NPI 1609893510) is an individual pulmonary disease provider in West Burlington, Iowa, licensed in Iowa (34998) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1609893510
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameVALERIE VELHO DENZCredential: MD
Location Address1225 S GEAR AVE, STE 304West Burlington, IA 52655-1691
Mailing AddressPo Box 540West Burlington, IA 52655-0540 · (319) 768-3450 · Fax (319) 768-3460
Fax(319) 768-3460
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 16, 2006
Last NPPES UpdateApril 15, 2021
NPPES CertifiedApril 15, 2021
NPI 1609893510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IA · 34998
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1225 S GEAR AVE, West Burlington, IA 52655

Accepted 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

Valerie Velho Denz 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 ID9234269036
PECOS Enrollment IDI20100604000423
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 14

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 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.
581 services325 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
395 services177 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
342 services315 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
326 services301 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
325 services301 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
188 services88 patients

Hospital Affiliations CMS Care Compare 2

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA
OwnershipGovernment - Local
CMS Certification Number161356
Location407 S White StMount Pleasant, IA 52641 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

Referred Medical Equipment & Supplies CMS DME claims 39

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

Sterile water, saline and/or dextrose, diluent/flush, 10 ml A4216
DME-Medical/Surgical Supplies · category DA000N
5 suppliers20 claims552 services$0.43 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers13 claims13 services$41.01 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
8 suppliers179 claims470 services$1.93 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
4 suppliers45 claims45 services$19.28 avg. paid by Medicare
Filter, disposable, used with aerosol compressor or ultrasonic generator A7013
DME-Other DME · category DE000N
4 suppliers38 claims73 services$0.65 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
6 suppliers43 claims65 services$1.45 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.

Nurse Practitioner (Family)
1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655
Otolaryngology
1225 S GEAR AVE, STE 255
WEST BURLINGTON, IA 52655
Family Medicine
1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655
Counselor (Mental Health)
1225 S GEAR AVE, STE 252
WEST BURLINGTON, IA 52655
Dentist (Oral and Maxillofacial Surgery)
1225 S GEAR AVE, MERCY PLZ STE 156
W BURLINGTON, IA 52655
Psychiatry & Neurology (Neurology)
1225 S GEAR AVE, SUITE 153, MERCY PLAZA
WEST BURLINGTON, IA 52655
Orthopaedic Surgery
1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655
Physician Assistant
1225 S GEAR AVE, SUITE 153
WEST BURLINGTON, IA 52655

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 Velho Denz's NPI number?

The NPI number for Valerie Velho Denz is 1609893510. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Valerie Velho Denz located?

Valerie Velho Denz practices at 1225 S Gear Ave Ste 304, West Burlington, IA 52655. The listed phone number is (319) 768-3200.

What is Valerie Velho Denz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Valerie Velho Denz enrolled in Medicare?

Yes. Valerie Velho Denz 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 Valerie Velho Denz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Valerie Velho Denz 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 Valerie Velho Denz affiliated with any hospitals?

According to CMS data, Valerie Velho Denz is affiliated with Southeast Iowa Regional Medical Center and Henry County Health Center.

When was this NPI record last updated?

The NPPES record for Valerie Velho Denz was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.