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DR. CARLOS VILLAR-GOSALVEZ M.D.
NPI 1548422868
Family Medicine in Cullman, AL

Active since June 27, 2008PECOS EnrolledAccepts Medicare Assignment
67.86/100
CMS Quality Rating
1800 AL HIGHWAY 157, CULLMAN, AL 35058(256) 735-5075(256) 735-5076 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Apr 8, 2025, Sep 23, 2022 and 1 more (4 updates tracked since 2022).

About Dr. Carlos Villar-gosalvez M.d. NPPES

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

DR. CARLOS VILLAR-GOSALVEZ M.D. (NPI 1548422868) is an individual family medicine provider in Cullman, Alabama, licensed in Alabama (MD.38238) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cullman, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1548422868
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARLOS VILLAR-GOSALVEZCredential: M.D.
Location Address1800 AL HIGHWAY 157Cullman, AL 35058-1271
Mailing AddressPo Box 2895Cullman, AL 35056-2895 · (256) 735-5075 · Fax (256) 735-5076
Phone(256) 735-5075
Fax(256) 735-5076
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 27, 2008
Last NPPES UpdateFebruary 3, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1548422868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · MD.38238
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.
1800 AL HIGHWAY 157, Cullman, AL 35058
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Secondary Practice Location 1

Location 11958 Al Highway 157Cullman, AL 35058-0609 · Phone (256) 737-2090 · Fax (256) 737-2091

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company.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. Carlos Villar-gosalvez 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 ID7517033764
PECOS Enrollment IDI20190718001981
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 4

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.
208 services96 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
62 services21 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.
51 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.
42 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35058 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

67.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.35
Promoting Interoperability89
Improvement Activities40
Cost49.68

Referred Medical Equipment & Supplies CMS DME claims 4

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$6.82 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers22 claims22 services$73.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier28 claims28 services$20.73 avg. paid by Medicare
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 supplier28 claims28 services$115.16 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 19

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

DEBRA W MORRISON RDN
Dietitian, Registered
1800 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 739-4131
JOHN R GOBER M.D.
Family Medicine
1800 AL HIGHWAY 157, SUITE 101
CULLMAN, AL 35058
Cullman County (256) 739-4131
TAMMY CORNELIUS CRNP
Nurse Practitioner (Primary Care)
1800 AL HIGHWAY 157, SUITE 101
CULLMAN, AL 35058
Cullman County (256) 734-1012
KARA LYN MOORE CRNP
Nurse Practitioner (Neonatal, Critical Care)
1800 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 735-5075
BETHANY BLANTON LAMAR CRNP
Nurse Practitioner (Family)
1800 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 735-5075
JOHN R MORGAN M.D.
Family Medicine
1800 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 735-5075
CHRISTOPHER H DODD M.D.
Pediatrics
1800 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 735-5075
DR. WESLEY HOSKYNS DO
Family Medicine
1800 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 735-5075

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 Carlos Villar-gosalvez's NPI number?

The NPI number for Carlos Villar-gosalvez is 1548422868. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Where is Carlos Villar-gosalvez located?

Carlos Villar-gosalvez practices at 1800 Al Highway 157, Cullman, AL 35058. The listed phone number is (256) 735-5075.

What is Carlos Villar-gosalvez's specialty?

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

Is Carlos Villar-gosalvez enrolled in Medicare?

Yes. Carlos Villar-gosalvez 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 Carlos Villar-gosalvez accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Carlos Villar-gosalvez 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 Carlos Villar-gosalvez was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.