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LUCY K VILLARREAL M.D.
NPI 1104920321
Obstetrics & Gynecology in Waco, TX

Active since September 08, 2006PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
405 LONDONDERRY, STE 309, WACO, TX 76712(254) 741-1860(254) 741-1249 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lucy K Villarreal M.d. NPPES

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

LUCY K VILLARREAL M.D. (NPI 1104920321) is an individual obstetrics & gynecology provider in Waco, Texas, licensed in Texas (J5659) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1989).

NPPES Registry Identity

NPI1104920321
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLUCY K VILLARREALCredential: M.D.
Location Address405 LONDONDERRY, STE 309Waco, TX 76712
Mailing Address405 Londonderry, Ste 309Waco, TX 76712 · (254) 741-1860 · Fax (254) 741-1249
Phone(254) 741-1860
Fax(254) 741-1249
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1989
Enumeration DateSeptember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104920321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · J5659
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
405 LONDONDERRY, Waco, TX 76712
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified8217K0TX

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

Lucy K Villarreal 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 ID6608112123
PECOS Enrollment IDI20190103003034
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability94
Improvement Activities40
Cost47.75

Other Providers at the Same Location NPPES

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

MR. JAMES WILCOX MASON MD
Dermatology
405 LONDONDERRY, STE 205
WACO, TX 76712
McLennan County (254) 772-9004

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 Lucy Villarreal's NPI number?

The NPI number for Lucy Villarreal is 1104920321. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Lucy Villarreal located?

Lucy Villarreal practices at 405 Londonderry Ste 309, Waco, TX 76712. The listed phone number is (254) 741-1860.

What is Lucy Villarreal's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lucy Villarreal enrolled in Medicare?

Yes. Lucy Villarreal 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 Lucy Villarreal 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 5 other insurers list Lucy Villarreal 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.

When was this NPI record last updated?

The NPPES record for Lucy Villarreal was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.