EDUARDO VILLARREAL M.D.
NPI 1265711410
Internal Medicine - Pulmonary Disease in Harrisburg, PA

Q: What is Eduardo Villarreal's NPI number?

The NPI number for Eduardo Villarreal is 1265711410. It was assigned to this individual provider in the NPPES registry on August 5, 2011. The provider is also known as Eduardo Villarreal Fernandez MD.

Q: What is Eduardo Villarreal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since August 05, 2011PECOS EnrolledAccepts Medicare Assignment

71.78/100

CMS Quality Rating

205 S FRONT ST, HARRISBURG, PA 17104(717) 231-8900 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Eduardo Villarreal M.d. NPPES

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

EDUARDO VILLARREAL M.D. (NPI 1265711410) is an individual pulmonary disease provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD452805) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and maintains a secondary practice location in Hershey.

NPPES Registry Identity

NPI1265711410

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameEDUARDO VILLARREALCredential: M.D.

Location Address205 S FRONT STHarrisburg, PA 17104-1619

Mailing Address500 University Dr Mc Ca410Hershey, PA 17033-2360 · (717) 531-5208 · Fax (717) 531-0119

Phone(717) 231-8900

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 5, 2011

Last NPPES UpdateOctober 14, 2024

NPPES CertifiedOctober 14, 2024

✔ NPI 1265711410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in PA · MD452805

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT200454 (PA)

205 S FRONT ST, Harrisburg, PA 17104

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Other Names 1

Other Name (5)Eduardo Villarreal Fernandez Md

Secondary Practice Location 1

Location 1500 University DrHershey, PA 17033-2360 · Phone (800) 243-1455

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

Eduardo 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 ID7416189493

PECOS Enrollment IDI20140908000462

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 15

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 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.

566 services165 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

106 services50 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.

84 services52 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

78 services77 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.

68 services43 patients

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.

50 services28 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

38 services38 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

38 services25 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.

32 services28 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

21 services21 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

18 services18 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

16 services16 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

13 services12 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.

11 services11 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390004

Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County

Emergency services

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390058

Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County

Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390067

Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County

Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390256

Location500 University DriveHershey, PA 17033 · Dauphin County

Emergency services Birthing friendly

Penn State Health Hampden Medical Center

Acute Care Hospitals · Enola, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390336

Location2200 Good Hope RoadEnola, PA 17025 · Cumberland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17104 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

71.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

48.32

Promoting Interoperability

100

Improvement Activities

Cost

57.63

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers14 claims14 services$38.75 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers19 claims102 services$2.27 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers13 claims19 services$16.23 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers33 claims33 services$38.83 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

5 suppliers24 claims30 services$86.42 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

LINDSEY HAGA

Surgery

205 S FRONT ST, SUITE 200
HARRISBURG, PA 17104

Dauphin County (717) 231-8755

STEPHEN ATKINSON DO

Surgery

205 S FRONT ST, BRADY BUILDING FLOOR 9
HARRISBURG, PA 17104

Dauphin County (717) 231-8755

DARIA CHELYSHEVA M.D.

Student in an Organized Health Care Education/Training Program

205 S FRONT ST, SUITE 3C
HARRISBURG, PA 17104

Dauphin County (412) 647-6426

MARK J JOHNSON PSYD

Psychologist

205 S FRONT ST, 5TH FLOOR BMA
HARRISBURG, PA 17104

Dauphin County (717) 231-8360

BHARATH NAIR SURESH KUMAR BINDU

Student in an Organized Health Care Education/Training Program

205 S FRONT ST
HARRISBURG, PA 17104

Dauphin County (717) 231-8532

RUBEN JOAN GONZALEZ VELEZ MD

General Practice

205 S FRONT ST
HARRISBURG, PA 17104

Dauphin County (717) 231-8722

JEANETTE MORALES-BRAND MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

205 S FRONT ST
HARRISBURG, PA 17104

Dauphin County (717) 231-8360

DR. CHANHEE JENNIFER KIM MD

Surgery

205 S FRONT ST, BRADY 9
HARRISBURG, PA 17104

Dauphin County (717) 231-8755

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 Eduardo Villarreal's NPI number?

The NPI number for Eduardo Villarreal is 1265711410. It was assigned to this individual provider in the NPPES registry on August 5, 2011. The provider is also known as Eduardo Villarreal Fernandez MD.

Where is Eduardo Villarreal located?

Eduardo Villarreal practices at 205 S Front St, Harrisburg, PA 17104. The listed phone number is (717) 231-8900.

What is Eduardo Villarreal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Eduardo Villarreal enrolled in Medicare?

Yes. Eduardo 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.

Is Eduardo Villarreal affiliated with any hospitals?

According to CMS data, Eduardo Villarreal is affiliated with Penn State Health Holy Spirit Medical Center, Upmc Carlisle, Upmc Pinnacle Hospitals, Milton S Hershey Medical Center and Penn State Health Hampden Medical Center.

When was this NPI record last updated?

The NPPES record for Eduardo Villarreal was last updated on October 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.