JOSE MANUEL VILLALON-GOMEZ MD, MPH
NPI 1528219813
Family Medicine in Atlanta, GA

Q: What is Jose Villalon-gomez's NPI number?

The NPI number for Jose Villalon-gomez is 1528219813. It was assigned to this individual provider in the NPPES registry on October 5, 2008.

Q: What is Jose Villalon-gomez's specialty?

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

Active since October 05, 2008PECOS Enrolled

92.26/100

CMS Quality Rating

740 W PEACHTREE ST NW, ATLANTA, GA 30308(833) 401-1577 Get Directions Write a Review

NPPES record last updated: August 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2024, Feb 2, 2023, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

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About Jose Manuel Villalon-gomez Md, Mph NPPES

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

JOSE MANUEL VILLALON-GOMEZ MD, MPH (NPI 1528219813) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (066097) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528219813

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOSE MANUEL VILLALON-GOMEZCredential: MD, MPH

Location Address740 W PEACHTREE ST NWAtlanta, GA 30308-1199

Mailing Address740 W Peachtree St NwAtlanta, GA 30308-1199 · (833) 401-1577

Phone(833) 401-1577

Sole ProprietorNo

Enumeration DateOctober 5, 2008

Last NPPES UpdateAugust 18, 20245 updates tracked since enumeration

NPPES CertifiedAugust 18, 2024

✔ NPI 1528219813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in GA · 066097✔ Licensed in NY · 246442✔ Licensed in FL · ME103333

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.

740 W PEACHTREE ST NW, Atlanta, GA 30308

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Other Identifiers 1

Medicaid003109624AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Manuel Villalon-gomez Md, Mph 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 Reassignments

Medicare enrollment records show Jose Villalon-gomez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Emory Clinic Inc

4.0 mi

Internal Medicine

1365 CLIFTON RD NE
Atlanta, GA 30322

Reassigned Medicare billing, Georgia enrollment
4,840 clinicians in this Medicare group

NPI 1396798229 (404) 778-2144

24 On Physicians, PC

56 mi

Hospitalist

304 TURNER MCCALL BLVD SW
Rome, GA 30165

Reassigned Medicare billing, Georgia enrollment
343 clinicians in this Medicare group

NPI 1912956251 (800) 923-2247

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 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.

54 services51 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.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30308 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

92.26/100

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

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers12 claims26 services$6.63 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 12

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

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