JAIME VILLARREAL MD
NPI 1396766838
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Mcallen, TX

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
224 LINDBERG AVE, MCALLEN, TX 78501(956) 971-0066(956) 362-0072 Get Directions Write a Review

NPPES record last updated: November 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2017, Jan 20, 2017 (2 updates tracked since 2017).

About Jaime Villarreal Md NPPES

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

JAIME VILLARREAL MD (NPI 1396766838) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Mcallen, Texas, licensed in Texas (H0907) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1396766838
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameJAIME VILLARREALCredential: MD
Location Address224 LINDBERG AVEMcallen, TX 78501-2920
Mailing AddressPo Box 4449Mcallen, TX 78502-4449 · (956) 971-0066 · Fax (956) 971-0072
Fax(956) 362-0072
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJuly 21, 2006
Last NPPES UpdateNovember 13, 20172 updates tracked since enumeration
NPI 1396766838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in TX · H0907
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
224 LINDBERG AVE, Mcallen, TX 78501

Other Identifiers 3

Medicare UPINC22987TX
Medicare PIN8D2143TX
Medicaid099853605TX

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

Jaime Villarreal 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 ID4183613151
PECOS Enrollment IDI20040506001294
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 2

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.

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.
20 services20 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78501 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Reported Quality Measures

Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery
Percentage of patients age 18 and older undergoing a non-emergency risk modeled cardiac surgery procedure that had personalized risk assessment using the STS risk calculator and discussed those risks with the surgeon.
6%164 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
99%178 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Dietitian, Registered
224 LINDBERG AVE
MCALLEN, TX 78501
Surgery (Vascular Surgery)
224 LINDBERG AVE
MCALLEN, TX 78501

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 Jaime Villarreal's NPI number?

The NPI number for Jaime Villarreal is 1396766838. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Jaime Villarreal located?

Jaime Villarreal practices at 224 Lindberg Ave, Mcallen, TX 78501. The listed phone number is (956) 971-0066.

What is Jaime Villarreal's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Jaime Villarreal enrolled in Medicare?

Yes. Jaime 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.

What insurance does Jaime Villarreal accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Jaime Villarreal 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.

Is Jaime Villarreal affiliated with any hospitals?

According to CMS data, Jaime Villarreal is affiliated with South Texas Health System and Rio Grande Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jaime Villarreal was last updated on November 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.