RANDAL E VILLALOVAS M.D.
NPI 1114960291
Internal Medicine in Salida, CO

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
62.62/100
CMS Quality Rating
1000 RUSH DR, SALIDA, CO 81201(719) 530-2048(719) 530-2055 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randal E Villalovas M.d. NPPES

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

RANDAL E VILLALOVAS M.D. (NPI 1114960291) is an individual internal medicine provider in Salida, Colorado, licensed in Colorado (52599) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1114960291
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRANDAL E VILLALOVASCredential: M.D.
Location Address1000 RUSH DRSalida, CO 81201-9627
Mailing Address550 W Hwy 50Salida, CO 81201-2238 · (719) 530-2048 · Fax (719) 530-2055
Fax(719) 530-2055
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 8, 2015
NPI 1114960291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CO · 52599 Licensed in CA · A60546 Licensed in TX · N4182
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License A60546 (CA)
1000 RUSH DR, Salida, CO 81201

Other Identifiers 12

Medicaid215687902TX
Medicare PINTXB128132TX
Medicaid2156879-01TX
Medicare PINTXB128149TX
Medicare PINTXB155534TX
Medicare ID-Type Unspecified00A605460CA
Medicaid215687903TX
Medicare PINP00941021TX
Medicare PINTXB107445TX
Medicaid00A605460CA
Medicare PINTXB155533TX
Medicare UPINH25804CA

Accepted 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

Randal E Villalovas 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 ID446375711
PECOS Enrollment IDI20130813000709
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
120 services67 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
51 services47 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
39 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81201 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

62.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.54
Improvement Activities40
Cost18.43

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers12 claims12 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers31 claims31 services$112.97 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$35.74 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.

Pathology (Anatomic Pathology & Clinical Pathology)
1000 RUSH DR
SALIDA, CO 81201
Emergency Medicine
1000 RUSH DR
SALIDA, CO 81201
General Acute Care Hospital (Critical Access)
1000 RUSH DR
SALIDA, CO 81201
Occupational Therapist
1000 RUSH DR
SALIDA, CO 81201
Nurse Practitioner (Family)
1000 RUSH DR
SALIDA, CO 81201
Surgery
1000 RUSH DR
SALIDA, CO 81201
Clinical Nurse Specialist (Psychiatric/Mental Health)
1000 RUSH DR
SALIDA, CO 81201
Nurse Practitioner
1000 RUSH DR
SALIDA, CO 81201

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 Randal Villalovas's NPI number?

The NPI number for Randal Villalovas is 1114960291. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Randal Villalovas located?

Randal Villalovas practices at 1000 Rush Dr, Salida, CO 81201. The listed phone number is (719) 530-2048.

What is Randal Villalovas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Randal Villalovas enrolled in Medicare?

Yes. Randal Villalovas 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 Randal Villalovas accept?

Health plans from Sendero Health Plans, Local Nonprofit list Randal Villalovas 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 Randal Villalovas was last updated on July 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.