DR. DOUGLAS J VILLELLA OD
NPI 1326073248
Optometrist in Erie, PA

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
70.09/100
CMS Quality Rating
300 STATE ST, SUITE 202, ERIE, PA 16507(814) 454-6517(814) 454-0604 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Douglas J Villella Od NPPES

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

DR. DOUGLAS J VILLELLA OD (NPI 1326073248) is an individual optometrist in Erie, Pennsylvania, licensed in Pennsylvania (OEG001102) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1982).

NPPES Registry Identity

NPI1326073248
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DOUGLAS J VILLELLACredential: OD
Location Address300 STATE ST, SUITE 202Erie, PA 16507-1427
Mailing Address300 State St, Suite 202Erie, PA 16507-1427 · (814) 454-6517 · Fax (814) 454-0604
Fax(814) 454-0604
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1982
Enumeration DateJuly 11, 2006
Last NPPES UpdateMay 13, 2008
NPI 1326073248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in PA · OEG001102
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
300 STATE ST, Erie, PA 16507

Other Identifiers 9

Other0727940001PA · Dmerc A
Medicare UPIN473949XSUPA
Medicare PIN473949JDGPA
Medicare PINDG8866PA
Medicare PIN535215PA
Medicare PIN0727940001PA
Medicare PIN410042506PA
OtherDG8866PA · R.r. Medicare
Medicare UPINT30634PA

Accepted 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. Douglas J Villella Od 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 ID3476636705
PECOS Enrollment IDI20080211000269
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 4

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.

Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
51 services25 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.
51 services23 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
50 services24 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

70.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.24
Improvement Activities40
Cost28

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.

Specialist/Technologist (Athletic Trainer)
300 STATE ST, SUITE 106
ERIE, PA 16507
Surgery
300 STATE ST, SUITE 400A
ERIE, PA 16507
Physician Assistant
300 STATE ST, #400A
ERIE, PA 16507
Urology
300 STATE ST, SUITE 301H
ERIE, PA 16507
Nurse Practitioner
300 STATE ST, SUITE 201
ERIE, PA 16507
Optometrist
300 STATE ST, SUITE 202
ERIE, PA 16507
Surgery
300 STATE ST, SUITE 400A
ERIE, PA 16507
Pediatrics
300 STATE ST, SUITE 301
ERIE, PA 16507

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 Douglas Villella's NPI number?

The NPI number for Douglas Villella is 1326073248. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Douglas Villella located?

Douglas Villella practices at 300 State St Suite 202, Erie, PA 16507. The listed phone number is (814) 454-6517.

What is Douglas Villella's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Douglas Villella enrolled in Medicare?

Yes. Douglas Villella 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 Douglas Villella accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Douglas Villella 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 Douglas Villella was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.