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KATHLEEN M VILLARREAL M.D.
NPI 1255334058
Internal Medicine in Chillicothe, OH

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
626 CENTRAL CTR, CHILLICOTHE, OH 45601(740) 779-4060(740) 779-4069 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2020, Nov 29, 2019 (2 updates tracked since 2019).

About Kathleen M Villarreal M.d. NPPES

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

KATHLEEN M VILLARREAL M.D. (NPI 1255334058) is an individual internal medicine provider in Chillicothe, Ohio, licensed in Ohio (35.0772266) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and is a graduate of University Of Toledo College Of Medicine (1993).

NPPES Registry Identity

NPI1255334058
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKATHLEEN M VILLARREALCredential: M.D.
Location Address626 CENTRAL CTRChillicothe, OH 45601-2248
Mailing Address272 Hospital Rd Ste 6Chillicothe, OH 45601-9031 · (740) 779-4222 · Fax (740) 779-4257
Phone(740) 779-4060
Fax(740) 779-4069
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1993
Enumeration DateMay 24, 2005
Last NPPES UpdateDecember 14, 20202 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
✔ NPI 1255334058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.0772266
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.
626 CENTRAL CTR, Chillicothe, OH 45601
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Other Identifiers 1

Medicaid2024704OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource 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

Kathleen M 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 ID6002821691
PECOS Enrollment IDI20060220000075
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 3

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 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.
193 services112 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.
120 services77 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.
63 services63 patients

Hospital Affiliations CMS Care Compare 3

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Greenfield Area Medical Center

Critical Access Hospitals · Greenfield, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361304
Location550 Mirabeau StreetGreenfield, OH 45123 · Highland County
Emergency services

Adena Fayette Medical Center

Critical Access Hospitals · Washington Ch, OH
OwnershipGovernment - Local
CMS Certification Number361331
Location1430 Columbus AvenueWashington Ch, OH 43160 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45601 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers32 claims45 services$6.13 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
1 supplier12 claims48 services$3.01 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
3 suppliers19 claims25 services$114.53 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 3

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

ADENA HEATLH SYSTEM
Family Medicine
626 CENTRAL CTR
CHILLICOTHE, OH 45601
Ross County (740) 779-4060
CHRISTOPHER J SKOCIK D.O.
Family Medicine
626 CENTRAL CTR
CHILLICOTHE, OH 45601
Ross County (740) 774-2800
FAMILY MEDICINE OF CHILLICOTHE, INC
Family Medicine
626 CENTRAL CTR
CHILLICOTHE, OH 45601
Ross County (740) 774-2800

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 Kathleen Villarreal's NPI number?

The NPI number for Kathleen Villarreal is 1255334058. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Kathleen Villarreal located?

Kathleen Villarreal practices at 626 Central Ctr, Chillicothe, OH 45601. The listed phone number is (740) 779-4060.

What is Kathleen Villarreal's specialty?

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

Is Kathleen Villarreal enrolled in Medicare?

Yes. Kathleen 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 Kathleen Villarreal accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Kathleen 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.

Is Kathleen Villarreal affiliated with any hospitals?

According to CMS data, Kathleen Villarreal is affiliated with Adena Regional Medical Center, Greenfield Area Medical Center and Adena Fayette Medical Center.

When was this NPI record last updated?

The NPPES record for Kathleen Villarreal was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.