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DR. JOHN B VILLENEUVE
NPI 1447201827
Obstetrics & Gynecology - Gynecologic Oncology in West Reading, PA

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
74.62/100
CMS Quality Rating
6TH AVENUE AND SPRUCE STREET, N BLDG GROUND FLOOR, WEST READING, PA 19611(610) 988-8905(610) 988-5189 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John B Villeneuve NPPES

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

DR. JOHN B VILLENEUVE (NPI 1447201827) is an individual gynecologic oncology provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD064792L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of University Of Southern California Keck School Of Medicine (1991).

NPPES Registry Identity

NPI1447201827
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameDR. JOHN B VILLENEUVE
Location Address6TH AVENUE AND SPRUCE STREET, N BLDG GROUND FLOORWest Reading, PA 19611-1428
Mailing AddressPo Box 13579Reading, PA 19612-3579
Phone(610) 988-8905
Fax(610) 988-5189
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1991
Enumeration DateMay 12, 2006
Last NPPES UpdateNovember 4, 2014
✔ NPI 1447201827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in PA · MD064792L
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
6TH AVENUE AND SPRUCE STREET, West Reading, PA 19611
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Other Identifiers 4

Medicare UPING21688
Medicare PIN020640PA
Medicaid7799403NJ
Medicaid0017180350004PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. John B Villeneuve 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 ID6002009792
PECOS Enrollment IDI20101026001347
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.
249 services147 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.
179 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services16 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.
27 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

74.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability96
Improvement Activities40
Cost11.91

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
33%136 patients2/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers12 claims125 services$5.50 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with flange (2 piece), each A5054
DME-Orthotic Devices · category DF010N
1 supplier11 claims600 services$1.65 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier11 claims375 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RICHARD LOYND D.O.
Internal Medicine
6TH AVENUE AND SPRUCE STREET
WEST READING, PA 19611
Berks County (484) 628-8640
DR. VICENTE CORTES MD
Surgery (Surgical Critical Care)
6TH AVENUE AND SPRUCE STREET, TRAUMA ADMINISTRATION, B4 SOUTH
WEST READING, PA 19611
Berks County (484) 628-4888
RHPN MIDWIVES
General Acute Care Hospital
6TH AVENUE AND SPRUCE STREET
WEST READING, PA 19611
Berks County (484) 628-8000
BENJAMIN MATTHEW KLINE MD
Anesthesiology
6TH AVENUE AND SPRUCE STREET, READING ANESTHESIA ASSOCIATES LTD
WEST READING, PA 19611
Berks County (610) 988-8589
TAMMY LAFFERTY CRNP
Nurse Practitioner (Gerontology)
6TH AVENUE AND SPRUCE STREET
WEST READING, PA 19611
Berks County (484) 628-5455
DR. GREGORY J OWSIK M.D.
Emergency Medicine
6TH AVENUE AND SPRUCE STREET
READING, PA 19611
Berks County (484) 628-3637
MORGAN A RAGSDALE CRNA
Nurse Anesthetist, Certified Registered
6TH AVENUE AND SPRUCE STREET
WEST READING, PA 19611
Berks County (484) 628-8269
MARTHA H CONNOLLY LCSW
Social Worker (Clinical)
6TH AVENUE AND SPRUCE STREET
WEST READING, PA 19611
Berks County (610) 988-8070

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 John Villeneuve's NPI number?

The NPI number for John Villeneuve is 1447201827. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is John Villeneuve located?

John Villeneuve practices at 6th Avenue And Spruce Street N Bldg Ground Floor, West Reading, PA 19611. The listed phone number is (610) 988-8905.

What is John Villeneuve's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is John Villeneuve enrolled in Medicare?

Yes. John Villeneuve 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 John Villeneuve accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list John Villeneuve 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 John Villeneuve affiliated with any hospitals?

According to CMS data, John Villeneuve is affiliated with Reading Hospital, Penn State Health St. Joseph, Pottstown Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for John Villeneuve was last updated on November 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.