GERALD VILLAREAL LEVY M.D.
NPI 1154306306
Internal Medicine - Interventional Cardiology in Austin, TX

Active since December 09, 2005PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
4316 JAMES CASEY ST, BUILDING C, AUSTIN, TX 78745(512) 623-5300(512) 623-5399 Get Directions Write a Review

NPPES record last updated: June 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerald Villareal Levy M.d. NPPES

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

GERALD VILLAREAL LEVY M.D. (NPI 1154306306) is an individual interventional cardiology provider in Austin, Texas, licensed in Texas (H7586) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1154306306
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameGERALD VILLAREAL LEVYCredential: M.D.
Location Address4316 JAMES CASEY ST, BUILDING CAustin, TX 78745-1157
Mailing AddressPo Box 1509San Antonio, TX 78295-1509 · (512) 623-5300 · Fax (512) 623-5399
Fax(512) 623-5399
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateDecember 9, 2005
Last NPPES UpdateJune 24, 2011
NPI 1154306306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in TX · H7586
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
4316 JAMES CASEY ST, Austin, TX 78745

Other Names 1

Other Name (5)Dr. Gerald Villareal-levy M.d.

Other Identifiers 10

Medicaid152734301TX
Medicare PIN8L6564TX
Medicare PIN8467B7TX
OtherP00698904TX · Medicare Railroad
Medicaid152734303TX
Other8BX077TX · Bcbstx
Other060069465TX · Medicare Railroad
Medicaid152734302TX
Medicare UPING06607TX
Medicare PIN8F20671TX

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

Gerald Villareal Levy 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 ID2567522006
PECOS Enrollment IDI20081113000650
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 27

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.
1,635 services774 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,099 services645 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.
181 services130 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
172 services167 patients
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.
168 services75 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
97 services97 patients

Hospital Affiliations CMS Care Compare 5

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

Ascension Seton Highland Lakes

Critical Access Hospitals · Burnet, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451365
Location3201 S Water StBurnet, TX 78611 · Burnet County
Emergency services

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78745 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality80.99
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
84%1,106 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
89%47 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
96%3,275 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
92%1,151 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%855 patients3/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%1,002 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,192 patients
Patients totalRate: 1% · 1,192 patients
1%1,192 patients4/55-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.

Family Medicine
4316 JAMES CASEY ST, BLDG F200
AUSTIN, TX 78745
Nurse Practitioner (Family)
4316 JAMES CASEY ST
AUSTIN, TX 78745
Ophthalmology
4316 JAMES CASEY ST, BLDG F STE 201
AUSTIN, TX 78745
Internal Medicine (Interventional Cardiology)
4316 JAMES CASEY ST, BUILDING C
AUSTIN, TX 78745
Clinical Nurse Specialist (Adult Health)
4316 JAMES CASEY ST
AUSTIN, TX 78745
Clinic/Center (Radiology)
4316 JAMES CASEY ST, F-110B
AUSTIN, TX 78745
Clinic/Center (Radiology)
4316 JAMES CASEY ST, SUITE F110-B
AUSTIN, TX 78745
Emergency Medicine (Undersea and Hyperbaric Medicine)
4316 JAMES CASEY ST, SUITE B 100
AUSTIN, TX 78745

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 Gerald Levy's NPI number?

The NPI number for Gerald Levy is 1154306306. It was assigned to this individual provider in the NPPES registry on December 9, 2005. The provider is also known as Dr. Gerald Villareal-Levy M.D..

Where is Gerald Levy located?

Gerald Levy practices at 4316 James Casey St Building C, Austin, TX 78745. The listed phone number is (512) 623-5300.

What is Gerald Levy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Gerald Levy enrolled in Medicare?

Yes. Gerald Levy 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 Gerald Levy 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 7 other insurers list Gerald Levy 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 Gerald Levy affiliated with any hospitals?

According to CMS data, Gerald Levy is affiliated with St David's Medical Center, St David's South Austin Medical Center, Round Rock Medical Center, Ascension Seton Highland Lakes and Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Gerald Levy was last updated on June 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.