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THEODORE R VILLAVICENCIO MD
NPI 1366496366
Family Medicine in Conifer, CO

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
10791 KITTY DR, SUITE A, CONIFER, CO 80433(303) 838-4686(303) 816-4905 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodore R Villavicencio Md NPPES

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

THEODORE R VILLAVICENCIO MD (NPI 1366496366) is an individual family medicine provider in Conifer, Colorado, licensed in Colorado (31320) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1990).

NPPES Registry Identity

NPI1366496366
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHEODORE R VILLAVICENCIOCredential: MD
Location Address10791 KITTY DR, SUITE AConifer, CO 80433
Mailing Address10791 Kitty Dr, Suite AConifer, CO 80433 · (303) 838-4686 · Fax (303) 816-4905
Phone(303) 838-4686
Fax(303) 816-4905
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1990
Enumeration DateMay 22, 2006
Last NPPES UpdateNovember 9, 2011
✔ NPI 1366496366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 31320
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10791 KITTY DR, Conifer, CO 80433
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Other Identifiers 2

Medicare UPINF07712
Medicare ID-Type Unspecified99338

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

Theodore R Villavicencio 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 ID5496646259
PECOS Enrollment IDI20060221000446
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80433 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 6

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

DAVID D LINN MD FAMILY MEDICINE PC
Family Medicine
10791 KITTY DR, SUITE A
CONIFER, CO 80433
Jefferson County (303) 838-4686
JENNIFER KIERNAN OD
Optometrist
10791 KITTY DR, SUITE B
CONIFER, CO 80433
Jefferson County (303) 838-9165
HEALING ROOTS COUNSELING, LLC
Social Worker (Clinical)
10791 KITTY DR
CONIFER, CO 80433
Jefferson County (720) 805-6575
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
10791 KITTY DR, STE A
CONIFER, CO 80433
Jefferson County (303) 838-4686
DAVID D. LINN MD FAMILY MEDICINE PC
Specialist
10791 KITTY DR, SUITE A
CONIFER, CO 80433
Jefferson County (303) 838-4686
DR. MELANIE R WATT PSY.D, BCB
Psychologist
10791 KITTY DR
CONIFER, CO 80433
Jefferson County (720) 689-3440

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 Theodore Villavicencio's NPI number?

The NPI number for Theodore Villavicencio is 1366496366. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Theodore Villavicencio located?

Theodore Villavicencio practices at 10791 Kitty Dr Suite A, Conifer, CO 80433. The listed phone number is (303) 838-4686.

What is Theodore Villavicencio's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Theodore Villavicencio enrolled in Medicare?

Yes. Theodore Villavicencio 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.

When was this NPI record last updated?

The NPPES record for Theodore Villavicencio was last updated on November 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.