PROF. MARC STEFFEN SCHMITZ-VALCKENBERG MD
NPI 1952941106
Ophthalmology in Salt Lake City, UT

Q: What is Marc Steffen Schmitz-valckenberg's NPI number?

The NPI number for Marc Steffen Schmitz-valckenberg is 1952941106. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Q: What is Marc Steffen Schmitz-valckenberg's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since January 15, 2020PECOS EnrolledAccepts Medicare Assignment

92.06/100

CMS Quality Rating

65 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132(801) 213-2424(801) 581-4085 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2021, Feb 7, 2020, Jan 15, 2020 (3 updates tracked since 2020).

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About Prof. Marc Steffen Schmitz-valckenberg Md NPPES

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

PROF. MARC STEFFEN SCHMITZ-VALCKENBERG MD (NPI 1952941106) is an individual ophthalmology provider in Salt Lake City, Utah, licensed in Utah (11318011-1251) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1952941106

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NamePROF. MARC STEFFEN SCHMITZ-VALCKENBERGCredential: MD

Location Address65 S MARIO CAPECCHI DRSalt Lake City, UT 84132-0005

Mailing Address65 S Mario Capecchi DrSalt Lake City, UT 84132-0005 · (801) 213-2424 · Fax (801) 581-4085

Phone(801) 213-2424

Fax(801) 581-4085

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJanuary 15, 2020

Last NPPES UpdateNovember 18, 20213 updates tracked since enumeration

NPPES CertifiedNovember 18, 2021

✔ NPI 1952941106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in UT · 11318011-1251

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 11318011-1251 (UT)

65 S MARIO CAPECCHI DR, Salt Lake City, UT 84132

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prof. Marc Steffen Schmitz-valckenberg 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 ID2567899768

PECOS Enrollment IDI20200228000752

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 Reassignments

Medicare enrollment records show Marc Steffen Schmitz-valckenberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services

Same address

Ophthalmology

65 MARIO CAPECCHI DR
Salt Lake City, UT 84132

Reassigned Medicare billing, Utah enrollment
2,620 clinicians in this Medicare group

NPI 1033513957 (801) 587-6336

University Of Utah

0.2 mi

General Acute Care Hospital

50 N MEDICAL DR
Salt Lake City, UT 84132

Reassigned Medicare billing, Utah enrollment
144 clinicians in this Medicare group

NPI 1588656870 (801) 581-2121

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 12

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.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

426 services161 patients

Imaging of retina 92134

359 services180 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

310 services73 patients

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.

252 services111 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

214 services122 patients

Injection of drug into eye 67028

210 services66 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.

163 services118 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

149 services107 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

94 services85 patients

Photography of the retina 92250

89 services78 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

21 services21 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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

92.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.57

Promoting Interoperability

100

Improvement Activities

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.

DR. EILEEN HWANG MD

Ophthalmology