Dr. Benjamin J. Valley, MD

  • Edgewood, KY
  • Orthopedic surgeon
NPI1295199131PAC ID8820381387
Medicare services, 2024
408
Medicare patients, 2024
190
Part D claims, 2024
478
MIPS score, 2024
93
Hospital affiliations
5
Practice address
560 S Loop Rd, Edgewood, KY 41017
Practice phone
Call (859) 301-2663
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Orthocincy Orthopaedics & Sports Medicine PSC

Edgewood, Kentucky

See all 10 affiliations

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Dr. Benjamin J. Valley is an orthopedic surgeon in Edgewood, Kentucky

Dr. Valley practices at Orthocincy Orthopaedics & Sports Medicine PSC in Edgewood, Kentucky.

Dr. Valley's NPI, 1295199131, was assigned on April 6, 2016. Dr. Valley graduated from Northeastern Ohio University College of Medicine in 2016. Dr. Valley holds Ohio license 35.144816.

NPI and contact details
Medicare PAC ID
8820381387
NPI enumeration date
April 6, 2016
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(859) 301-2663
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
36
Medical school graduation
2016

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Benjamin J. Valley practices at Orthocincy Orthopaedics & Sports Medicine PSC in Edgewood, Kentucky

Dr. Valley's primary practice is Orthocincy Orthopaedics & Sports Medicine PSC, at 560 S Loop Rd, Edgewood, KY 41017 in Kenton County. The practice phone is (859) 301-2663.

  • Orthocincy Orthopaedics & Sports Medicine PSC
    560 S Loop Rd, Edgewood, KY 41017 · Kenton CountyPhone(859) 301-2663

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Benjamin J. Valley is affiliated with 8 sites of care and 2 medical groups

Dr. Valley's primary practice is Orthocincy Orthopaedics & Sports Medicine PSC in Edgewood, Kentucky. Dr. Valley is also affiliated with Bethesda North Hospital. The medical group on file is OrthoCincy Orthopaedics & Sports Medicine. Dmand AI also links Dr. Valley to 4 more hospitals, 2 group practices and clinics and 1 medical group, each named with a free account.

See all 10 affiliations for Dr. Valley

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Benjamin J. Valley's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Valley practices, 7 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Orthocincy Orthopaedics & Sports Medicine PSCAvailable with a free account
+7 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Benjamin J. Valley is one of 291 orthopedic surgeons in Kentucky

Orthopaedic surgery is Dr. Valley's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dmand AI has Dr. Valley's licenses on file in 3 states: Ohio, Arizona and Kentucky.

Specialties and state licenses

  • Orthopaedic surgery, OhioPrimaryLicense 35.144816 · taxonomy 207X00000X
  • Arizona licenseLicense 62610
  • Kentucky licenseLicense 57171

Orthopedic surgeons near Dr. Valley

Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Benjamin J. Valley billed Medicare for 408 services in 2024

CMS data shows 408 Medicare services from Dr. Valley across 8 procedure codes in 2024, for 190 Medicare patients. Medicare paid $45,653 for them.

Medicare services, 2024408
Medicare patients190
Paid by Medicare$45,653
Procedure codes8

Dr. Valley's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 2102024: 28938%
Imaging
2023: 652024: 7718%
Surgery
2023: 02024: 42

Where Dr. Valley's Medicare services took place, 2024

  • In an office36690%
  • In a facility4210%

Dr. Valley compared with the Kentucky median for orthopedic surgeons, 2024

  • Dr. Valley
  • Kentucky median
Medicare services
408vs 1,20966% below
Medicare patients
190vs 25726% below
Part D claims
435vs 24677% above

Medians across 291 orthopedic surgeons in Kentucky with Dmand AI profiles that report each measure.

Dr. Valley's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Valley

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Benjamin J. Valley treated 190 Medicare patients in 2024, average age 73

CMS counts 190 Medicare patients who saw Dr. Valley in 2024. The largest group is 65 to 74, with 98 patients. 75% of them have arthritis, and 75% have high blood pressure. 8% are also on Medicaid. Their average risk score is 1.23, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Valley's median patient age at 61, with 54% women.

Medicare patients, 2024190
Average age73
Average risk score1.23
Also on Medicaid8%

Dr. Valley's Medicare patients by age, 2024

Dr. Valley's Medicare patients by sex, 2024

  • Women9952%
  • Men9148%

Chronic conditions among Dr. Valley's Medicare patients, 2024

  1. Arthritis75%
  2. High blood pressure75%
  3. High cholesterol75%
  4. Diabetes37%
  5. Ischemic heart disease35%
  6. Mood disorders32%
  7. Anxiety31%
  8. Depression31%

Share of Medicare patients with each condition. A patient can have several.

Dr. Valley's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 61

Patient panel by sex, all payers

  • Women54%
  • Men45%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Benjamin J. Valley wrote 478 Medicare Part D claims in 2024

In 2024, Dr. Valley wrote 478 Medicare Part D claims for 168 patients. 99% of them were for generic drugs. CMS names the drug for 435 of them, across 12 drugs with 11 or more claims each, at $3,606 in total drug cost. In 2023, CMS named 258 claims across 8 drugs.

Part D claims, 2024478
Drugs named by CMS12
Total drug cost$3,606
Part D patients168

Dr. Valley's Part D claims by kind of drug, 2024

  • Generic472 claims99%
  • Brand-name and other6 claims1%

Dr. Valley's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Valley's Part D claims, 2024

  • Opioids17%79 of 478 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 2582024: 43569%

Drugs named by CMS: 12 in 2024, 8 in 2023.

See all prescribing by Dr. Valley

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Benjamin J. Valley scored 93 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 93 out of 100 for Dr. Valley for performance year 2024, reported through an alternative payment model (APM). Dr. Valley accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Valley as offering telehealth. CMS counts 78 procedures of spinal fusion by Dr. Valley, more than 67% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Valley's MIPS scores, performance year 2024

  • 93of 100Final score
  • 86of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Valley ranks in Medicare procedure volume

Spinal fusion
67th percentile78 procedures
Laminectomy or laminotomy (partial removal of spine bones)
53rd percentile23 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Benjamin J. Valley received $6,072 in industry payments from 2019 to 2025

CMS Open Payments shows 68 general payments to Dr. Valley from 15 drug and device companies from 2019 to 2025. Food and beverage make up the largest share, 79% of the total. Nuvasive, Inc. paid the most, $1,165.

General payments to Dr. Valley by program year, 2019 to 2025

General payments to Dr. Valley by kind, 2019 to 2025

$6.1Kin total
  • Food and beverage$4,82279%
  • Travel and lodging$1,25021%

Companies that paid Dr. Valley the most, 2019 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Valley

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Benjamin J. Valley graduated from Northeastern Ohio University College of Medicine

Dr. Valley graduated from Northeastern Ohio University College of Medicine in 2016.

  1. Medical schoolNortheastern Ohio University College of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Benjamin J. Valley's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Benjamin J. Valley

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Benjamin J. Valley's NPI number?

Dr. Benjamin J. Valley's NPI number is 1295199131. It was assigned on April 6, 2016, and it is active in the NPI Registry.

What kind of doctor is Dr. Benjamin J. Valley?

Dr. Benjamin J. Valley is an orthopedic surgeon in Edgewood, Kentucky. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).

Where does Dr. Benjamin J. Valley practice?

Dr. Valley practices at 560 S Loop Rd, Edgewood, KY 41017. Dr. Valley's primary practice is Orthocincy Orthopaedics & Sports Medicine PSC in Edgewood, Kentucky. Dmand AI also links Dr. Valley to 4 hospitals, 2 group practices and clinics and 1 medical group.

What is Dr. Benjamin J. Valley's office phone number?

The practice phone on file for Dr. Valley is (859) 301-2663.

What is Dr. Benjamin J. Valley's medical license number?

Dr. Valley holds Ohio license 35.144816, one of the licenses on file in 3 states.

Which states has Dr. Benjamin J. Valley been licensed in?

Dmand AI has state licenses on file for Dr. Valley in Ohio, Arizona and Kentucky.

Which hospitals is Dr. Benjamin J. Valley affiliated with?

Dr. Valley is affiliated with Bethesda North Hospital. Dmand AI links Dr. Valley to 4 more hospitals.

What medical group is Dr. Benjamin J. Valley part of?

Dr. Valley is linked to OrthoCincy Orthopaedics & Sports Medicine. Dmand AI links Dr. Valley to 1 more medical group.

Does Dr. Benjamin J. Valley accept Medicare?

Yes. CMS data shows Dr. Valley billed Medicare for 408 services in 2024, and Dr. Valley accepts Medicare assignment.

Does Dr. Benjamin J. Valley offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Valley as offering telehealth services.

Show 7 more questionsShow fewer questions

What is Dr. Benjamin J. Valley's MIPS score?

Dr. Valley's MIPS final score for performance year 2024 is 93 out of 100, reported through an alternative payment model (APM).

How many Medicare patients does Dr. Benjamin J. Valley see?

CMS counts 190 Medicare patients who saw Dr. Valley in 2024, with an average age of 73.

What services does Dr. Benjamin J. Valley bill to Medicare?

In 2024, Dr. Valley's most billed Medicare services were office visit, established patient (99214), office visit, established patient (99213) and diagnostic imaging (72110).

Where did Dr. Benjamin J. Valley go to medical school?

Dr. Valley graduated from Northeastern Ohio University College of Medicine in 2016.

What drugs does Dr. Benjamin J. Valley prescribe most?

In 2024 Medicare Part D data, Dr. Valley's most prescribed drugs by claims were Meloxicam, Gabapentin and Methocarbamol.

Has Dr. Benjamin J. Valley received payments from drug or device companies?

CMS Open Payments shows $6,072 in general payments to Dr. Valley from 15 companies from 2019 to 2025. The largest total came from Nuvasive, Inc.

How long has Dr. Benjamin J. Valley been practicing?

Dr. Valley graduated from medical school in 2016, 10 years ago.

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