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JUAN MARIO VILLAFANI MD FACS
NPI 1104882992
Surgery in Kingwood, TX

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
74.94/100
CMS Quality Rating
19701 KINGWOOD DR, BLDG 9, KINGWOOD, TX 77339(281) 548-3555(281) 548-3552 Get Directions Write a Review

NPPES record last updated: April 26, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Juan Mario Villafani Md Facs NPPES

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

JUAN MARIO VILLAFANI MD FACS (NPI 1104882992) is an individual surgery provider in Kingwood, Texas, licensed in Texas (J9930) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Northeast Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1991).

NPPES Registry Identity

NPI1104882992
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJUAN MARIO VILLAFANICredential: MD FACS
Location Address19701 KINGWOOD DR, BLDG 9Kingwood, TX 77339-3773
Mailing Address22710 Professional Dr, Ste 102Kingwood, TX 77339-6008 · (281) 548-3555 · Fax (281) 548-3552
Phone(281) 548-3555
Fax(281) 548-3552
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1991
Enumeration DateApril 21, 2006
Last NPPES UpdateApril 26, 2017
✔ NPI 1104882992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · J9930
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

19701 KINGWOOD DR, Kingwood, TX 77339
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Other Identifiers 5

Other0019BYTX · Group Medicare Ptan
Medicare PIN8G1752TX
Other111815002TX · Group Tpi- Millennium Physicians Association, Pllc
Medicaid036316004TX
Other1255397733TX · Group Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Juan Mario Villafani Md Facs 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 ID2264403062
PECOS Enrollment IDI20040804001381
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 5

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.

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.
69 services69 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.
46 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
17 services17 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77339 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

74.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.96
Promoting Interoperability97
Improvement Activities40
Cost54.25

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%877 patients5/55-star benchmark: 100%
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.
100%675 patients5/55-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.
100%869 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 48% · 79 patients
44%79 patients2/55-star benchmark: 98%
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…
15%869 patients1/55-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…
15%869 patients1/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
29%21 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 217 patients
7%217 patients3/55-star benchmark: 100%
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.

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. AYANNA JANELL BROWN M.D.
Psychiatry & Neurology (Psychiatry)
19701 KINGWOOD DR, BLDG 3
KINGWOOD, TX 77339
Harris County (281) 358-5701
ISABELLA CURTIS
Behavior Technician
19701 KINGWOOD DR
KINGWOOD, TX 77339
Harris County (281) 973-0757
MS. SANDRA LOUISE MARTIN N.P.
Nurse Practitioner (Acute Care)
19701 KINGWOOD DR, BLDG 10, ST. C
KINGWOOD, TX 77339
Harris County (281) 547-4050
MS. BRECHTJE CORNELIA VAN DE LAAR LMSW
Social Worker (Clinical)
19701 KINGWOOD DR, BUILDING 3
KINGWOOD, TX 77339
Harris County (281) 358-5701
IFEANYI ENEGIDE
Behavior Technician
19701 KINGWOOD DR
KINGWOOD, TX 77339
Harris County (281) 973-0757
DYMON HICKS RBT
Behavior Technician
19701 KINGWOOD DR
KINGWOOD, TX 77339
Harris County (855) 782-7822
EMILY CASTILLO
Behavior Technician
19701 KINGWOOD DR
KINGWOOD, TX 77339
Harris County (281) 973-0757
FRANCISCA YAZIGI PA-C
Physician Assistant
19701 KINGWOOD DR
KINGWOOD, TX 77339
Harris County (281) 358-5701

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 Juan Villafani's NPI number?

The NPI number for Juan Villafani is 1104882992. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Juan Villafani located?

Juan Villafani practices at 19701 Kingwood Dr Bldg 9, Kingwood, TX 77339. The listed phone number is (281) 548-3555.

What is Juan Villafani's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Juan Villafani enrolled in Medicare?

Yes. Juan Villafani 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 Juan Villafani accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Juan Villafani 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 Juan Villafani affiliated with any hospitals?

According to CMS data, Juan Villafani is affiliated with Memorial Hermann Northeast Hospital and Hca Houston Healthcare Kingwood.

When was this NPI record last updated?

The NPPES record for Juan Villafani was last updated on April 26, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.