DR. JAIME VILLARREAL JR. M.D.
NPI 1427316132
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Edinburg, TX

Q: What is Jaime Villarreal's NPI number?

The NPI number for Jaime Villarreal is 1427316132. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Q: What is Jaime Villarreal's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Jaime Villarreal was last updated on August 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 01, 2012PECOS EnrolledAccepts Medicare Assignment

82.78/100

CMS Quality Rating

5540 RAPHAEL DR, EDINBURG, TX 78539(956) 362-6683(956) 362-6818 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 9, 2018, Aug 1, 2018 (2 updates tracked since 2018).

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About Dr. Jaime Villarreal Jr. M.d. NPPES

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

DR. JAIME VILLARREAL JR. M.D. (NPI 1427316132) is an individual orthopaedic surgery of the spine provider in Edinburg, Texas, licensed in Texas (Q9920) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of University Of Texas Medical Branch At Galveston (2012).

NPPES Registry Identity

NPI1427316132

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. JAIME VILLARREAL JR.Credential: M.D.

Location Address5540 RAPHAEL DREdinburg, TX 78539

Mailing AddressPo Box 4624Mcallen, TX 78502-4624 · (956) 362-6683 · Fax (956) 362-6818

Phone(956) 362-6683

Fax(956) 362-6818

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2012

Enumeration DateMay 1, 2012

Last NPPES UpdateAugust 9, 20182 updates tracked since enumeration

✔ NPI 1427316132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in TX · Q9920

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License BP10043277 (TX)

5540 RAPHAEL DR, Edinburg, TX 78539

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Other Identifiers 1

OtherQ9920TX · Tmb License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Jaime Villarreal Jr. M.d. 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 ID9739459645

PECOS Enrollment IDI20170726001938

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 5

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 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.

93 services52 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

48 services37 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.

39 services39 patients

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.

27 services23 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipPhysician

CMS Certification Number450869

Location5501 South MccollEdinburg, TX 78539 · Hidalgo County

Emergency services Birthing friendly

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.

82.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.52

Improvement Activities

Other Providers at the Same Location NPPES 14

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

DR. SALVADOR JUVENTINO MENDEZ MD

Orthopaedic Surgery