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DR. NAZARIO VILLASENOR JR. MD
NPI 1326241563
Pain Medicine - Interventional Pain Medicine in Cumming, GA

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment
106 ALLEN ST, CUMMING, GA 30040(678) 455-8693 Get Directions Write a Review

NPPES record last updated: May 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nazario Villasenor Jr. Md NPPES

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

DR. NAZARIO VILLASENOR JR. MD (NPI 1326241563) is an individual interventional pain medicine provider in Cumming, Georgia, licensed in Georgia (64985) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1326241563
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. NAZARIO VILLASENOR JR.Credential: MD
Location Address106 ALLEN STCumming, GA 30040-2602
Mailing AddressPo Box 80883Athens, GA 30608-0883 · (706) 549-8114 · Fax (706) 549-8114
Phone(678) 455-8693
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 6, 2007
Last NPPES UpdateMay 14, 2013
✔ NPI 1326241563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in GA · 64985
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 64985 (GA)
Also ListedAnesthesiology · Addiction MedicineTaxonomy 207LA0401X · License 64985 (GA)
106 ALLEN ST, Cumming, GA 30040
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Other Identifiers 2

Medicaid003110098BGA
Medicare PIN202I054414GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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. Nazario Villasenor Jr. 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 ID8527240266
PECOS Enrollment IDI20110316000801
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 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.
599 services93 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.
210 services71 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Other Providers at the Same Location NPPES

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

DR. PETER EDWARD FONG M.D.
Pain Medicine (Interventional Pain Medicine)
106 ALLEN ST
CUMMING, GA 30040
Forsyth County (706) 549-8114

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 Nazario Villasenor's NPI number?

The NPI number for Nazario Villasenor is 1326241563. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Nazario Villasenor located?

Nazario Villasenor practices at 106 Allen St, Cumming, GA 30040. The listed phone number is (678) 455-8693.

What is Nazario Villasenor's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Nazario Villasenor enrolled in Medicare?

Yes. Nazario Villasenor 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 Nazario Villasenor accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Nazario Villasenor 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 Nazario Villasenor was last updated on May 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.