1. Home
  2. Directory
  3. Illinois
  4. Bolingbrook
  5. Internal Medicine
  6. NPI Profile

DR. DENISE VALERO FICHT M.D.
NPI 1821477241
Internal Medicine in Bolingbrook, IL

Active since May 19, 2015PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
130 N WEBER RD STE 100, BOLINGBROOK, IL 60440(630) 646-5777(630) 646-5729 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2023, Jun 28, 2018 (2 updates tracked since 2018).

About Dr. Denise Valero Ficht M.d. NPPES

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

DR. DENISE VALERO FICHT M.D. (NPI 1821477241) is an individual internal medicine provider in Bolingbrook, Illinois, licensed in Illinois (036.144599) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2015).

NPPES Registry Identity

NPI1821477241
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DENISE VALERO FICHTCredential: M.D.
Location Address130 N WEBER RD STE 100Bolingbrook, IL 60440-1519
Mailing Address130 N Weber Rd Ste 100Bolingbrook, IL 60440-1519 · (630) 646-5777
Phone(630) 646-5777
Fax(630) 646-5729
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2015
Enumeration DateMay 19, 2015
Last NPPES UpdateNovember 28, 20232 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
✔ NPI 1821477241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036.144599
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.
130 N WEBER RD STE 100, Bolingbrook, IL 60440
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Denise Valero M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Dr. Denise Valero Ficht 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 ID4486945185
PECOS Enrollment IDI20180914000372
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 10

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.
236 services112 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.
56 services56 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services20 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services17 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60440 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$59.03 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$28.81 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 4

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

DR. JESSICA NICOLE CUNNINGHAM MD, MPH
Internal Medicine
130 N WEBER RD STE 100
BOLINGBROOK, IL 60440
Will County (630) 646-5777
DR. VINOD G MOTIANI M.D.
Internal Medicine
130 N WEBER RD STE 100
BOLINGBROOK, IL 60440
Will County (630) 646-5777
MARIANNE L COSTALES-ROMAN LCSW
Social Worker (Clinical)
130 N WEBER RD STE 100
BOLINGBROOK, IL 60440
Will County (630) 646-5777
DR. LAURA MCDANIEL SETLUR M.D
Internal Medicine
130 N WEBER RD STE 100
BOLINGBROOK, IL 60440
Will County (630) 646-5777

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 Denise Valero Ficht's NPI number?

The NPI number for Denise Valero Ficht is 1821477241. It was assigned to this individual provider in the NPPES registry on May 19, 2015. The provider is also known as Dr. Denise Valero M.D..

Where is Denise Valero Ficht located?

Denise Valero Ficht practices at 130 N Weber Rd Ste 100, Bolingbrook, IL 60440. The listed phone number is (630) 646-5777.

What is Denise Valero Ficht's specialty?

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

Is Denise Valero Ficht enrolled in Medicare?

Yes. Denise Valero Ficht 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 Denise Valero Ficht accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Denise Valero Ficht 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 Denise Valero Ficht affiliated with any hospitals?

According to CMS data, Denise Valero Ficht is affiliated with Swedish Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Denise Valero Ficht was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.