1. Home
  2. Directory
  3. New York
  4. Albany
  5. Family Medicine
  6. NPI Profile

DR. TIMOTHY S. DERENZO M.D.
NPI 1629272059
Family Medicine in Albany, NY

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
63 SHAKER RD, SUITE G02, ALBANY, NY 12204(518) 449-5352(518) 449-5364 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy S. Derenzo M.d. NPPES

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

DR. TIMOTHY S. DERENZO M.D. (NPI 1629272059) is an individual family medicine provider in Albany, New York, licensed in New York (244547) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1629272059
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TIMOTHY S. DERENZOCredential: M.D.
Location Address63 SHAKER RD, SUITE G02Albany, NY 12204-1030
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094
Phone(518) 449-5352
Fax(518) 449-5364
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 11, 2007
Last NPPES UpdateMay 11, 2021
NPPES CertifiedMay 11, 2021
✔ NPI 1629272059 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 · 244547
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.
63 SHAKER RD, Albany, NY 12204
Open in Google Maps ↗

Other Identifiers 1

Medicaid02918981NY

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

Dr. Timothy S. Derenzo M.d. 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 ID7416044284
PECOS Enrollment IDI20071026000373
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 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.
336 services92 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.
115 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
70 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Sunnyview Hospital And Rehabilitation Center

Acute Care Hospitals · Schenectady, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number330406
Location1270 Belmont AvenueSchenectady, NY 12308 · Schenectady County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12204 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
85%192 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
96%454 patients5/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
77%150 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%12,030 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
62%451 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%396 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%897 patients5/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
55%430 patients3/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
67%896 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
100%896 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
16%896 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims24 services$6.20 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers17 claims17 services$206.32 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.

AARON KASSOFF MD
Ophthalmology
63 SHAKER RD, SUITE 101
ALBANY, NY 12204
Albany County (518) 434-1042
DR. ASHOK SEHGAL M.D.
Ophthalmology
63 SHAKER RD, SUITE 101
ALBANY, NY 12204
Albany County (518) 434-1042
NORTHEAST NEUROSURGERY LLC
Neurological Surgery
63 SHAKER RD, SUITE 201
ALBANY, NY 12204
Albany County (518) 446-1850
NORTHEAST GASTROENTEROLOGY AND HEPATOLOGY, P.C.
Internal Medicine
63 SHAKER RD, SUITE G01
ALBANY, NY 12204
Albany County (518) 391-2973
DR. JESSICA ANNE FRANCIS MD
Psychiatry & Neurology (Neurology)
63 SHAKER RD
ALBANY, NY 12204
Albany County (518) 213-1443
PATRICIA A ERETTO MD
Ophthalmology
63 SHAKER RD, SUITE 101
ALBANY, NY 12204
Albany County (518) 434-1042
JAMES ERNEST MINCY M.D.
Specialist
63 SHAKER RD, STE 201
ALBANY, NY 12204
Albany County (518) 446-1850
ANNA YERMAKOVA ALLEN MD
Ophthalmology
63 SHAKER RD, SUITE 101
ALBANY, NY 12204
Albany County (518) 434-1042

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 Timothy Derenzo's NPI number?

The NPI number for Timothy Derenzo is 1629272059. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Timothy Derenzo located?

Timothy Derenzo practices at 63 Shaker Rd Suite G02, Albany, NY 12204. The listed phone number is (518) 449-5352.

What is Timothy Derenzo's specialty?

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

Is Timothy Derenzo enrolled in Medicare?

Yes. Timothy Derenzo 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 Timothy Derenzo affiliated with any hospitals?

According to CMS data, Timothy Derenzo is affiliated with St Peter's Hospital, Samaritan Hospital Of Troy, New York and Sunnyview Hospital And Rehabilitation Center.

When was this NPI record last updated?

The NPPES record for Timothy Derenzo was last updated on May 11, 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.