1. Home
  2. Directory
  3. Colorado
  4. Westminster
  5. Family Medicine
  6. NPI Profile

DR. MARIA A VILLAVERT MD
NPI 1194719351
Family Medicine in Westminster, CO

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
8601 TURNPIKE DR UNIT 200, WESTMINSTER, CO 80031(303) 428-7449(303) 487-5196 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Maria A Villavert Md NPPES

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

DR. MARIA A VILLAVERT MD (NPI 1194719351) is an individual family medicine provider in Westminster, Colorado, licensed in Colorado (43886) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1194719351
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIA A VILLAVERTCredential: MD
Location Address8601 TURNPIKE DR UNIT 200Westminster, CO 80031-7044
Mailing Address8601 Turnpike Dr Unit 200Westminster, CO 80031-7044 · (303) 428-7449 · Fax (303) 487-5196
Phone(303) 428-7449
Fax(303) 487-5196
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 2, 2005
Last NPPES UpdateFebruary 20, 2018
✔ NPI 1194719351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 43886
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8601 TURNPIKE DR UNIT 200, Westminster, CO 80031
Open in Google Maps ↗

Secondary Practice Location 1

Location 16240 S Main St, Suite 255Aurora, CO 80016-5376 · Phone (303) 928-7555 · Fax (303) 928-7560

Other Identifiers 1

Medicaid90507363CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Dr. Maria A Villavert Md 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 ID4981620374
PECOS Enrollment IDI20060118000689
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 10

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.
281 services133 patients
Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424
Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.
123 services62 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
71 services71 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.
67 services49 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.
66 services49 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80031 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
57%118 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
81%114 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.

Referred Medical Equipment & Supplies CMS DME claims

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

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
1 supplier17 claims17 services$79.75 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 4

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

MS. PAIGE REDIFER MONEY PA-C
Physician Assistant
8601 TURNPIKE DR UNIT 200
WESTMINSTER, CO 80031
Adams County (303) 428-7449
KATIE MAUREEN BALLARD FNP-C
Nurse Practitioner (Family)
8601 TURNPIKE DR UNIT 200
WESTMINSTER, CO 80031
Adams County (303) 428-7449
MRS. SAMANTHA DREHER PA-C
Family Medicine
8601 TURNPIKE DR UNIT 200
WESTMINSTER, CO 80031
Adams County (313) 428-7449
CYNTHIA DUMONT PHARMD
Pharmacist
8601 TURNPIKE DR UNIT 200
WESTMINSTER, CO 80031
Adams County (303) 428-7449

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 Maria Villavert's NPI number?

The NPI number for Maria Villavert is 1194719351. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Maria Villavert located?

Maria Villavert practices at 8601 Turnpike Dr Unit 200, Westminster, CO 80031. The listed phone number is (303) 428-7449.

What is Maria Villavert's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maria Villavert enrolled in Medicare?

Yes. Maria Villavert 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 Maria Villavert accept?

Health plans from UnitedHealthcare list Maria Villavert 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 Maria Villavert was last updated on February 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.