DR. JUAN DIEGO URIBE VILLA M.D.
NPI 1295967826
Neurological Surgery in Jackson, MS


Quality Rating: 94.11 out of 100 score

NPI Status: Active since August 15, 2009

Contact Information

2500 N STATE ST
DEPT. OF NEUROSURGERY
JACKSON, MS
ZIP 39216
Phone: (601) 984-5700

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  • Individual
  • Male
  • Years of Experience 18
  • Neurological Surgery
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JUAN URIBE VILLA

Juan Uribe Villa is a provider established in Jackson, Mississippi and his medical specialization is Neurological Surgery with more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1295967826 assigned on August 2009. The practitioner's primary taxonomy code is 207T00000X with license number 23837 (MS). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1295967826
Provider Name
DR. JUAN DIEGO URIBE VILLA M.D.
Gender
Male
Entity Type
Individual
Location Address
2500 N STATE ST DEPT. OF NEUROSURGERY JACKSON, MS 39216
Location Phone
(601) 984-5700
Mailing Address
2500 N STATE ST JMM ROOM 2525 JACKSON, MS 39216
Mailing Phone
(601) 984-6426
Mailing Fax
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
08-15-2009
Last Update Date
09-15-2016
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Juan Uribe Villa is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.11, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $31.2 for a new patient copayment and $16.88 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
License No.
23837
License State
MS
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Aetna CVS Health

    • Bronze 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Gold 3: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Gold 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Gold S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Ambetter from Peach State Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Bronze - HMO
    • Clear Bronze + Vision + Adult Dental - HMO
    • Clear Gold - HMO
  • Ambetter from Sunshine Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Ambetter of Alabama

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
  • AvMed

    • AvMed Entrust Bronze 600 (2024) - HMO
    • AvMed Entrust Bronze 625 Dental+Vision (2024) - HMO
    • AvMed Entrust Bronze 650 (2024) - HMO
    • AvMed Entrust Expanded Bronze Standard (2024) - HMO
    • AvMed Entrust Gold 125 (2024) - HMO
  • Cigna Healthcare

    • Connect Bronze 0 Indiv Med Deductible - EPO
    • Connect Bronze 5500 Indiv Med Deductible - EPO
    • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
    • Connect Bronze 8500 Indiv Med Deductible - EPO
    • Connect Bronze CMS Standard - EPO
  • Florida Blue (BlueCross BlueShield FL)

    • BlueOptions Bronze (HSA) 24J01-10 (Rewards $$$ / $4 Condition Care Rx) - PPO
    • BlueOptions Bronze 24J01-04 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-06 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-17 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards $$$) - PPO
  • Florida Blue HMO (a BlueCross BlueShield FL company)

    • BlueCare Bronze (HSA) 24K01-09 (Rewards $$$ / $4 Condition Care Rx) - POS
    • BlueCare Bronze 24K01-03 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - POS
    • BlueCare Bronze 24K01-05 ($0 Virtual Visits / Rewards $$$) - POS
    • BlueCare Bronze 24K01-25 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) - POS
    • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards $$$) - POS
  • Health First Commercial Plans, Inc.

    • Bronze 1750 (Unlimited Primary Care, Specialist & Urgent Care Copay Visits, Open Access) - HMO
    • Bronze 1826 ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
    • Bronze HSA 1794 (HSA Qualified, Open Access) - HMO
    • Bronze Savings 1820 (Primary Care Copay Visits 1-5, Open Access) - HMO
    • Bronze Standard 1828 - HMO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02700811MEDICAID (05)MS 
526953YJ5DMEDICARE PIN (08)MS 

PECOS Enrollment and Medicare Participation Status

Juan Uribe Villa is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4183948003

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200413001308

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 39216 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $124.83
  • Minimum New Patient Price $53.5
  • Maximum New Patient Price $165.08
  • Average New Patient Copayment $31.2
  • Minimum New Patient Copayment $13.37
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.54
  • Minimum Established Patient Price $16.25
  • Maximum Established Patient Price $134.74
  • Average Established Patient Copayment $16.88
  • Minimum Established Patient Copayment $4.06
  • Maximum Established Patient Copayment $33.68

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 94.11 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 88.23

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Juan Uribe Villa is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
CLEVELAND CLINIC INDIAN RIVER HOSPITAL1000 36TH ST
VERO BEACH, FL 32960
(772) 567-4311Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295967826
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221851861484
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 8 + 6 + 1 + 4 + 8 + 4 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1295967826 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477556231UNIVERSITY OPHTHALMOLOGY ASSOCIATES
Organization
Ophthalmology2500 N STATE ST STE B329
JACKSON, MS 39216
(601) 815-3931
1770580961DR. BRIAN L CRABTREE PHARM.D.
Individual
Pharmacist (Psychiatric)2500 N STATE ST
JACKSON, MS 39216
(601) 351-8013
1699761064STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Organization
Rehabilitation Unit2500 N STATE ST
JACKSON, MS 39216
(866) 842-7574
1760453823DR. JEFFERY D CARRON MD
Individual
Otolaryngology2500 N STATE ST DEPARTMENT OF OTOLARYNGOLOGY
JACKSON, MS 39216
(601) 984-5160
1164499109DR. BARRY SAUL RUBEL D.M.D.
Individual
Dentist2500 N STATE ST
JACKSON, MS 39216
(601) 984-6030
1689641649 IRINA V BORISSOVA MD, PHD
Individual
Anesthesiology (Pediatric Anesthesiology)2500 N STATE ST DEPT. OF ANESTHESIOLOGY
JACKSON, MS 39216
(601) 984-5900
1215906573DR. TRACY MICHELLE DELLINGER D.D.S.
Individual
Dentist2500 N STATE ST UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY
JACKSON, MS 39216
(601) 984-6028
1871544155DR. KATIE S MCCLENDON PHARM.D.
Individual
Pharmacist2500 N STATE ST SCHOOL OF PHARMACY-OFFICE ANNEX
JACKSON, MS 39216
(601) 984-2638
1639123078 WILLIAM HUGH SOREY M.D.
Individual
Pediatrics2500 N STATE ST
JACKSON, MS 39216
(601) 815-8010
1003862707 RAPHAEL CORCORAN SNEED M.D.
Individual
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)2500 N STATE ST
JACKSON, MS 39216
(601) 984-2940
1043267990DR. KEVIN DEL BEN PHD
Individual
Psychologist (Clinical)2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1346297090MS. VICKY DIANNE MINNINGER CFNP
Individual
Nurse Practitioner2500 N STATE ST
JACKSON, MS 39216
(601) 984-6525
1578510962 DOMENIC P ESPOSITO M.D.
Individual
Neurological Surgery2500 N STATE ST N703 NEUROSURGERY DEPARTMENT
JACKSON, MS 39216
(601) 984-5706
1386681633DR. GRAYSON S NORQUIST M.D.
Individual
Psychiatry & Neurology (Psychiatry)2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1770521718MS. JUDITH ROSEMARY O'JILE PHD
Individual
Clinical Neuropsychologist2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1730127390 SAMUEL L. BARNETT M.D.
Individual
Neurological Surgery2500 N STATE ST N703 NEUROSURGERY DEPARTMENT
JACKSON, MS 39216
(601) 984-5706
1790723294MRS. JULIE A SCHUMACHER-COFFEY PHD
Individual
Psychologist (Clinical)2500 N STATE ST
JACKSON, MS 39216
(601) 984-5888
1073551586DR. HANS-GEORG OTTO BOCK M.D.
Individual
Medical Genetics (Clinical Genetics (M.D.))2500 N STATE ST DEPARTMENT OF PREVENTIVE MEDICINE
JACKSON, MS 39216
(601) 984-1900
1518905124UNIVERSITY PATHOLOGY ASSOCIATES, PLLC
Organization
Clinical Medical Laboratory2500 N STATE ST
JACKSON, MS 39216
(601) 984-1530
1811938699DR. ELIZABETH ANNE CHRIST M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)2500 N STATE ST
JACKSON, MS 39216
(601) 815-8173

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295967826, enumerated in the NPI registry as an "individual" on August 15, 2009

The provider is located at 2500 N State St Dept. Of Neurosurgery Jackson, Ms 39216 and the phone number is (601) 984-5700

The provider's speciality is Neurological Surgery with taxonomy code 207T00000X

The provider has more than 18 years of experience.

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Peach State Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 11, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $124.83 with an average copayment of $31.2 for new patient appointments. Established patients should expect a typical charge of $67.54 and an average copayment of 16.88. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): CLEVELAND CLINIC INDIAN RIVER HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 15, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.