LAURA A VILLANUEVA M.D.
NPI 1477847010
Family Medicine in Gunnison, CO

Active since May 31, 2011PECOS EnrolledAccepts Medicare Assignment
38.28/100
CMS Quality Rating
130 E VIRGINIA AVE, GUNNISON, CO 81230(970) 641-0211(970) 641-1268 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2021, Sep 25, 2018 (2 updates tracked since 2018).

About Laura A Villanueva M.d. NPPES

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

LAURA A VILLANUEVA M.D. (NPI 1477847010) is an individual family medicine provider in Gunnison, Colorado, licensed in Colorado (55781) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2011).

NPPES Registry Identity

NPI1477847010
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLAURA A VILLANUEVACredential: M.D.
Location Address130 E VIRGINIA AVEGunnison, CO 81230-2246
Mailing Address130 E Virginia AveGunnison, CO 81230-2246 · (970) 641-0211 · Fax (970) 641-1268
Fax(970) 641-1268
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2011
Enumeration DateMay 31, 2011
Last NPPES UpdateAugust 26, 20212 updates tracked since enumeration
NPPES CertifiedAugust 26, 2021
NPI 1477847010 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 · 55781
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.
130 E VIRGINIA AVE, Gunnison, CO 81230

Other Names 1

Former Name (1)Laura A Holder Md

Other Identifiers 1

Medicaid95300040CO

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

Laura A Villanueva 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 ID2668609017
PECOS Enrollment IDI20160129000284
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.

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.
53 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81230 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.

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.

38.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability98
Improvement Activities0
Cost45.96

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$103.87 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 8

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

Physician Assistant (Medical)
130 E VIRGINIA AVE
GUNNISON, CO 81230
Clinic/Center (Primary Care)
130 E VIRGINIA AVE
GUNNISON, CO 81230
Family Medicine
130 E VIRGINIA AVE
GUNNISON, CO 81230
Family Medicine
130 E VIRGINIA AVE
GUNNISON, CO 81230
Family Medicine
130 E VIRGINIA AVE
GUNNISON, CO 81230
Family Medicine
130 E VIRGINIA AVE
GUNNISON, CO 81230
Clinic/Center (Rural Health)
130 E VIRGINIA AVE
GUNNISON, CO 81230
Nurse Practitioner (Family)
130 E VIRGINIA AVE
GUNNISON, CO 81230

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 Laura Villanueva's NPI number?

The NPI number for Laura Villanueva is 1477847010. It was assigned to this individual provider in the NPPES registry on May 31, 2011. The provider is also known as Laura A Holder MD.

Where is Laura Villanueva located?

Laura Villanueva practices at 130 E Virginia Ave, Gunnison, CO 81230. The listed phone number is (970) 641-0211.

What is Laura Villanueva's specialty?

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

Is Laura Villanueva enrolled in Medicare?

Yes. Laura Villanueva 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 Laura Villanueva was last updated on August 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.