JOSE S VILLARREAL DO
NPI 1619996436
Hospitalist in West Palm Beach, FL

NPI Status: Active since July 19, 2006

Contact Information

901 45TH STREET
SUITE CL149
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 882-4541
Fax: (561) 650-6093

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  • Individual
  • Male
  • Years of Experience 22
  • Hospitalist
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JOSE VILLARREAL

Jose Villarreal is a provider established in West Palm Beach, Florida and his medical specialization is Hospitalist with more than 22 years of experience. He graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2003. The healthcare provider is registered in the NPI registry with number 1619996436 assigned on July 2006. The practitioner's primary taxonomy code is 208M00000X with license number OS10951 (FL). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1619996436
Provider Name
JOSE S VILLARREAL DO
Gender
Male
Entity Type
Individual
Location Address
901 45TH STREET SUITE CL149 WEST PALM BEACH, FL 33407
Location Phone
(561) 882-4541
Location Fax
(561) 650-6093
Mailing Address
901 45TH STREET SUITE CL149 WEST PALM BEACH, FL 33407
Mailing Phone
(561) 882-4541
Mailing Fax
(561) 650-6093
Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
07-19-2006
Last Update Date
09-13-2016
Code Navigator

Jose Villarreal is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $35.38 for a new patient copayment and $27.09 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
OS10951
License State
FL
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

OS10951 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AvMed

    • AvMed Entrust Bronze 600 (2024) - HMO
    • AvMed Entrust Bronze 625 Dental+Vision (2024) - HMO
    • AvMed Entrust Bronze 650 (2024) - HMO
    • AvMed Entrust Expanded Bronze Standard (2024) - HMO
    • AvMed Entrust Gold 125 (2024) - HMO
    • AvMed Entrust Gold 125 Dental+Vision (2024) - HMO
    • AvMed Entrust Gold Standard (2024) - HMO
    • AvMed Entrust Platinum 25 (2024) - HMO
    • AvMed Entrust Platinum 25 Dental+Vision (2024) - HMO
    • AvMed Entrust Platinum Standard (2024) - HMO
  • Molina Healthcare

    • Bronze 4 - HMO
    • Bronze 8 - HMO
    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 - HMO
    • Silver 1 with Adult Vision Services - HMO
    • Silver 12 with First 4 Primary Care Visits Free - HMO
    • Silver 8 - HMO
    • Silver 9 - HMO
  • Railroad Medicare

  • Medicare

  • Medicaid

  • Blue Cross Blue Shield


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P00447210OTHER (01)TXRAILROAD MEDICARE PIN
185047101MEDICAID (05)TX 
8G7922MEDICARE PIN (08)TX 
I62035MEDICARE UPIN (02)TX 
8X7293OTHER (01)TXBCBS
008227000MEDICAID (05)FL 

PECOS Enrollment and Medicare Participation Status

Jose Villarreal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4981601119

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20101213000286

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • Wheelchairs (D1D)

    Lightweight wheelchair (HCPCS:K0003)

    1 DME suppliers used 42 Medicare Claims 43 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 33407 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $141.52
  • Minimum New Patient Price $61.36
  • Maximum New Patient Price $187
  • Average New Patient Copayment $35.38
  • Minimum New Patient Copayment $15.34
  • Maximum New Patient Copayment $46.75

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $108.36
  • Minimum Established Patient Price $18.68
  • Maximum Established Patient Price $151.65
  • Average Established Patient Copayment $27.09
  • Minimum Established Patient Copayment $4.67
  • Maximum Established Patient Copayment $37.91

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jose Villarreal is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST MARY'S MEDICAL CENTER901 45TH ST
WEST PALM BEACH, FL 33407
(561) 840-6202Acute Care Hospitals

Reviews for JOSE S VILLARREAL DO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619996436
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26291891246
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 1 + 8 + 9 + 1 + 2 + 4 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1619996436 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336161678 MICHELLE NICOLE DUANE MSN, ARNP
Individual
Registered Nurse901 45TH STREET ST MARYS MEDICAL CENTER TRAUMA DEPARTMENT
WEST PALM BEACH, FL 33407
(561) 842-6013
1649283268 CINDY ROSS CRNA
Individual
Nurse Anesthetist, Certified Registered901 45TH STREET
WEST PALM BEACH, FL 33407
(561) 840-3444
1518941251 MARIA B. MATA MD
Individual
Radiology (Diagnostic Radiology)901 45TH STREET
WEST PALM BEACH, FL 33407
(561) 844-6300
1942688825 NINA L THRASHER PA-C
Individual
Physician Assistant (Medical)901 45TH STREET KIMMEL BLDG
WEST PALM BEACH, FL 33407
(412) 721-5731
1215593389MS. CALLI ELIZABETH BRADFORD
Individual
Nurse Anesthetist, Certified Registered901 45TH STREET
WEST PALM BEACH, FL 33407
(561) 844-6300
1962859207 ELENA VOGEL CAHILL DPT
Individual
Physical Therapist901 45TH STREET KIMMEL BLDG
WEST PALM BEACH, FL 33407
(561) 844-5255
1093367237 APRIL ELIZABETH MCKINNEY
Individual
Nurse Anesthetist, Certified Registered901 45TH STREET
WEST PALM BEACH, FL 33407
(561) 844-6300
1184259590CARA THOMAS MD LLC
Organization
Physical Medicine & Rehabilitation901 45TH STREET
WEST PALM BEACH, FL 33407
(561) 844-6300
1720671449MS. LYNNE ANN MCINERNEY ARNP
Individual
Nurse Practitioner (Family)901 45TH STREET
WEST PALM BEACH, FL 33407
(561) 842-8076
1952932626 DEBORAH EPSTEIN LASKO APRN
Individual
Pediatrics (Pediatric Critical Care Medicine)901 45TH STREET
WEST PALM BEACH, FL 33407
(561) 844-6300
1073289328RUEL T STOESSEL MD PA
Organization
Obstetrics & Gynecology (Maternal & Fetal Medicine)901 45TH STREET
WEST PALM BEACH, FL 33407
(561) 844-6300
1134865140 TYLER GENE WELLS CPO
Individual
Prosthetist901 45TH STREET KIMMEL BUILDING
WEST PALM BEACH, FL 33407
(561) 844-5255
1033319892DR. STEPHEN M QUINNAN MD
Individual
Orthopaedic Surgery901 45TH STREET
WEST PALM BEACH, FL 33407
(561) 844-5255
1770872467 SCOTT JOSEPH RAFFA M.D.
Individual
Neurological Surgery901 45TH STREET KIMMEL BUILDING
WEST PALM BEACH, FL 33407
(561) 844-5255
1043563943 FRASHY NAILA MOLINA PT,DPT,CPST
Individual
Physical Therapist901 45TH STREET KIMMEL BLDG
WEST PALM BEACH, FL 33407
(561) 844-5255
1548983612 MATTHEW J WESTLAKE CO
Individual
Orthotist901 45TH STREET KIMMEL BUILDING
WEST PALM BEACH, FL 33407
(561) 405-8267
1891757126MR. RICHARD JOSEPH PALMERI PA
Individual
Physician Assistant (Surgical)901 45TH STREET KIMMEL BLDG
WEST PALM BEACH, FL 33407
(561) 844-5255
1407171226DR. AARON J HUSER DO
Individual
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)901 45TH STREET KIMMEL
WEST PALM BEACH, FL 33407
(561) 844-5255
1558144782MEDICAL REHAB PRO LLC
Organization
Physical Medicine & Rehabilitation901 45TH STREET REHAB ADMIN
WEST PALM BEACH, FL 33407
(855) 850-7032
1841816758 GABRIELA ORTEGA DPT
Individual
Physical Therapist901 45TH STREET KIMMEL BUILDING
WEST PALM BEACH, FL 33407
(561) 844-5200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619996436, enumerated in the NPI registry as an "individual" on July 19, 2006

The provider is located at 901 45th Street Suite Cl149 West Palm Beach, Fl 33407 and the phone number is (561) 882-4541

The provider's speciality is Hospitalist with taxonomy code 208M00000X

The provider has more than 22 years of experience. He graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2003.

The provider might be accepting Accepts: AvMed, Molina Healthcare, Railroad Medicare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $141.52 with an average copayment of $35.38 for new patient appointments. Established patients should expect a typical charge of $108.36 and an average copayment of 27.09. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): ST MARY'S MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.