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VICTOR ADALBERT GERALDEZ DE VILLA M.D.
NPI 1043485139
Internal Medicine - Endocrinology, Diabetes & Metabolism in Green Bay, WI

Active since April 29, 2008PECOS EnrolledAccepts Medicare Assignment
720 S VANBUREN ST, SUITE 104, GREEN BAY, WI 54301(920) 433-6050(920) 433-6049 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Victor Adalbert Geraldez De Villa M.d. NPPES

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

VICTOR ADALBERT GERALDEZ DE VILLA M.D. (NPI 1043485139) is an individual endocrinology, diabetes & metabolism provider in Green Bay, Wisconsin, licensed in Michigan (4301114122) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Osf St Francis Hospital And Medical Group, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1043485139
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameVICTOR ADALBERT GERALDEZ DE VILLACredential: M.D.
Location Address720 S VANBUREN ST, SUITE 104Green Bay, WI 54301-3538
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289
Phone(920) 433-6050
Fax(920) 433-6049
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateApril 29, 2008
Last NPPES UpdateMarch 5, 2019
✔ NPI 1043485139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in MI · 4301114122✔ Licensed in NE · 24449
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
720 S VANBUREN ST, Green Bay, WI 54301
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Other Identifiers 3

Medicaid10026169400NE
Medicaid10026133000NE
OtherP00705495NE · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Victor Adalbert Geraldez De Villa 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 ID143396697
PECOS Enrollment IDI20160601000950, I20190313000644
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 8

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.
154 services112 patients
Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
53 services32 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.
45 services34 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.
33 services27 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
24 services11 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Osf St Francis Hospital And Medical Group

Critical Access Hospitals · Escanaba, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number231337
Location3401 Ludington StEscanaba, MI 49829 · Delta County
Emergency services Birthing friendly

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521358
Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers26 claims318 services$18.83 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers24 claims776 services$2.40 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers75 claims281 services$5.58 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers17 claims35 services$0.91 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
4 suppliers12 claims1,860 services$7.28 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
21 suppliers268 claims275 services$188.66 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.

SHIRLEY M JEAN-BAPTISTE APNP
Nurse Practitioner (Family)
720 S VANBUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-7488
BAILEY E HAVLOVITZ PA-C
Physician Assistant
720 S VANBUREN ST
GREEN BAY, WI 54301
Brown County (920) 468-3444
CHERYL L BAILEY M.D.
Obstetrics & Gynecology
720 S VANBUREN ST, SUITE 101
GREEN BAY, WI 54301
Brown County (920) 433-3420
BELLIN MEMORIAL HOSPITAL INC
Surgery
720 S VANBUREN ST, SUITE 201
GREEN BAY, WI 54301
Brown County (920) 433-7488
RENEE R SMITH CNM,APNP
Advanced Practice Midwife
720 S VANBUREN ST, SUITE 101
GREEN BAY, WI 54301
Brown County (920) 433-3420
MRS. SANDRA RENEE PELNAR C.N.M., W.H.N.P.
Advanced Practice Midwife
720 S VANBUREN ST, SUITE 101
GREEN BAY, WI 54301
Brown County (920) 433-3420
CARMEN D. ANDERSON APNP
Nurse Practitioner (Family)
720 S VANBUREN ST, SUITE 201
GREEN BAY, WI 54301
Brown County (920) 433-7488
DR. HADI MOHAMMAD KHAN M.D.
Surgery
720 S VANBUREN ST, SUITE 201
GREEN BAY, WI 54301
Brown County (920) 433-7488

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 Victor Adalbert De Villa's NPI number?

The NPI number for Victor Adalbert De Villa is 1043485139. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Victor Adalbert De Villa located?

Victor Adalbert De Villa practices at 720 S Vanburen St Suite 104, Green Bay, WI 54301. The listed phone number is (920) 433-6050.

What is Victor Adalbert De Villa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Victor Adalbert De Villa enrolled in Medicare?

Yes. Victor Adalbert De Villa 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 Victor Adalbert De Villa accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Victor Adalbert De Villa 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 Victor Adalbert De Villa affiliated with any hospitals?

According to CMS data, Victor Adalbert De Villa is affiliated with Osf St Francis Hospital And Medical Group, Bellin Memorial Hospital and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Victor Adalbert De Villa was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.