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MR. RAFAEL VILLALOBOS D.O.
NPI 1508946518
Plastic Surgery in Columbus, OH

Active since October 16, 2006PECOS Enrolled
18.56/100
CMS Quality Rating
1151 BETHEL RD STE 101, COLUMBUS, OH 43220(614) 457-7772(614) 326-2639 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Rafael Villalobos D.o. NPPES

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

MR. RAFAEL VILLALOBOS D.O. (NPI 1508946518) is an individual plastic surgery provider in Columbus, Ohio, licensed in Ohio (34005536) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508946518
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameMR. RAFAEL VILLALOBOSCredential: D.O.
Location Address1151 BETHEL RD STE 101Columbus, OH 43220-2775
Mailing Address1151 Bethel Rd Ste 101Columbus, OH 43220-2775 · (614) 457-7772 · Fax (614) 326-2639
Phone(614) 457-7772
Fax(614) 326-2639
Sole ProprietorYes
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 23, 2013
✔ NPI 1508946518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in OH · 34005536
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1151 BETHEL RD STE 101, Columbus, OH 43220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Rafael Villalobos D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Rafael Villalobos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mansfield Plastic Surgery, LLC
55 mi
Medical Specialty
370 CLINE AVE
Mansfield, OH 44907
  • Reassigned Medicare billing, Ohio enrollment
  • 4 clinicians in this Medicare group
NPI 1417191636 (419) 756-1125

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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 low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services24 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
20 services20 patients
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 11311
This procedure involves removing a small skin growth on the face or related areas like the ears, eyelids, nose, lips, or mouth. The growth is gently shaved off, typically under local anesthesia. It's a quick, safe process for growths between 0.6-1.0 cm in size.
20 services12 patients
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.
19 services19 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less 12051
This procedure involves repairing a wound on your face, ears, eyelids, nose, lips, or mouth. The wound is 2.5 cm or less in size. The repair process includes cleaning, treating, and stitching the wound to promote optimal healing. It's a standard, safe procedure.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43220 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

18.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost61.88

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.

PLASTIC RECONSTRUCTIVE SURGERY ASSOCIATES LLC
Plastic Surgery
1151 BETHEL RD STE 101
COLUMBUS, OH 43220
Franklin County (614) 457-7772
REAVES OPHTHALMOLOGY
Ophthalmology
1151 BETHEL RD STE 101
COLUMBUS, OH 43220
Franklin County (740) 395-6534

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 Rafael Villalobos's NPI number?

The NPI number for Rafael Villalobos is 1508946518. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Rafael Villalobos located?

Rafael Villalobos practices at 1151 Bethel Rd Ste 101, Columbus, OH 43220. The listed phone number is (614) 457-7772.

What is Rafael Villalobos's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Rafael Villalobos enrolled in Medicare?

Yes. Rafael Villalobos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rafael Villalobos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Villalobos reassigns Medicare benefits to Mansfield Plastic Surgery, LLC (Mansfield, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rafael Villalobos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafael Villalobos accept?

Health plans from MedMutual list Rafael Villalobos 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.

When was this NPI record last updated?

The NPPES record for Rafael Villalobos was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.