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DR. MANUEL SANTOS VILLAREAL MD
NPI 1255389409
Internal Medicine - Allergy & Immunology in Lakeside Park, KY

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
2300 CHAMBER CENTER DR STE 102, LAKESIDE PARK, KY 41017(859) 781-4900(859) 572-3039 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2018, Nov 1, 2016, Oct 27, 2016 (3 updates tracked since 2016).

About Dr. Manuel Santos Villareal Md NPPES

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

DR. MANUEL SANTOS VILLAREAL MD (NPI 1255389409) is an individual allergy & immunology provider in Lakeside Park, Kentucky, licensed in Kentucky (30879) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1255389409
Entity TypeIndividualMale
Primary Taxonomy207RA0201X
Provider Legal NameDR. MANUEL SANTOS VILLAREALCredential: MD
Location Address2300 CHAMBER CENTER DR STE 102Lakeside Park, KY 41017-1686
Mailing Address2830 Victory PkwyCincinnati, OH 45206-1785 · (513) 585-5504 · Fax (513) 585-5511
Phone(859) 781-4900
Fax(859) 572-3039
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMay 4, 2006
Last NPPES UpdateApril 30, 20183 updates tracked since enumeration
✔ NPI 1255389409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
Licenses✔ Licensed in KY · 30879✔ Licensed in OH · 35 070669✔ Licensed in OH · 35070669
Definition

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 35070669 (OH)
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License 30879 (KY)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 35070669 (OH)
2300 CHAMBER CENTER DR STE 102, Lakeside Park, KY 41017
Open in Google Maps ↗

Secondary Practice Location 1

Location 13130 Highland AveCincinnati, OH 45219-2399 · Phone (513) 584-3686 · Fax (513) 584-3349

Other Identifiers 9

Medicaid200518220IN
Other610715494KY · Other Insurance Companies
Other000000001005KY · Cha Insurance
Medicaid2064564OH
Other138180523662KY · Humana Ins Co
Other0220092KY · United Health Care
Other650439KY · Aetna
Other000000033648KY · Anthem
Medicaid64308794KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Manuel Santos Villareal 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 ID547289480
PECOS Enrollment IDI20051121000243, I20100722000526
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 7

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.

Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
254 services35 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.
140 services80 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.
133 services94 patients
Test to measure the level of nitric oxide gas 95012
A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.
30 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers13 claims52 services$18.35 avg. paid by Medicare
Injection, immune globulin (cuvitru), 100 mg J1555
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims3,360 services$11.71 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers13 claims1,585 services$0.03 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
1 supplier12 claims49 services$2.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Manuel Villareal's NPI number?

The NPI number for Manuel Villareal is 1255389409. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Manuel Villareal located?

Manuel Villareal practices at 2300 Chamber Center Dr Ste 102, Lakeside Park, KY 41017. The listed phone number is (859) 781-4900.

What is Manuel Villareal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Is Manuel Villareal enrolled in Medicare?

Yes. Manuel Villareal 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 Manuel Villareal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Manuel Villareal 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 Manuel Villareal affiliated with any hospitals?

According to CMS data, Manuel Villareal is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood, St Elizabeth Florence and University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Manuel Villareal was last updated on April 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.