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ROBERT VILLAREAL M.D.
NPI 1629046883
Family Medicine in Broken Arrow, OK

Active since March 14, 2006PECOS Enrolled
79.39/100
CMS Quality Rating
2950 S ELM PL, SUITE 160, BROKEN ARROW, OK 74012(918) 449-3750(918) 449-3755 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert Villareal M.d. NPPES

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

ROBERT VILLAREAL M.D. (NPI 1629046883) is an individual family medicine provider in Broken Arrow, Oklahoma, licensed in Oklahoma (23592) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629046883
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT VILLAREALCredential: M.D.
Location Address2950 S ELM PL, SUITE 160Broken Arrow, OK 74012-7877
Mailing Address6600 S Yale Ave, Ste 1400Tulsa, OK 74136-3310
Phone(918) 449-3750
Fax(918) 449-3755
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateSeptember 29, 2022
NPPES CertifiedSeptember 29, 2022
✔ NPI 1629046883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 23592
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.

2950 S ELM PL, Broken Arrow, OK 74012
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Secondary Practice Locations 2

Location 11866 E 15th StTulsa, OK 74104-4611 · Phone (818) 884-2884 · Fax (918) 884-2885
Location 26600 S Yale Ave Ste 650Tulsa, OK 74136-3342 · Phone (918) 884-2884 · Fax (918) 502-7275

Other Identifiers 1

Medicaid200012750AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Villareal M.d. 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.

Areas of Expertise CMS Part B claims 6

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, 30-39 minutes 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.
483 services219 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
160 services112 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
75 services73 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
72 services71 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
13 services13 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74012 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.76
Promoting Interoperability99
Improvement Activities40
Cost54.37

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
7 suppliers17 claims50 services$5.66 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers15 claims15 services$62.37 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier16 claims16 services$24.51 avg. paid by Medicare
Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$66.93 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 20

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

RILEY MARK HILL MD
Internal Medicine
2950 S ELM PL, SUITE 256
BROKEN ARROW, OK 74012
Tulsa County (918) 449-3720
AUDRA MICHELLE MCCALL PAC
Physician Assistant
2950 S ELM PL, STE 256
BROKEN ARROW, OK 74012
Tulsa County (918) 449-3720
ANNE K HARRINGTON M.D.
Pediatrics
2950 S ELM PL, STE 430
BROKEN ARROW, OK 74012
Tulsa County (918) 449-4061
LANDON D PRICE M.D.
Family Medicine
2950 S ELM PL, STE 160
BROKEN ARROW, OK 74012
Tulsa County (918) 449-3750
STEPHEN M PARKER M.D.
Internal Medicine
2950 S ELM PL, STE 260
BROKEN ARROW, OK 74012
Tulsa County (918) 449-3700
BART RIDER D.O.
Family Medicine
2950 S ELM PL, STE 160
BROKEN ARROW, OK 74012
Tulsa County (918) 449-3750
JAMES PERRY WARD M.D.
Pediatrics
2950 S ELM PL, STE 430
BROKEN ARROW, OK 74012
Tulsa County (918) 449-4061
KYLE DOUGLAS KNAPP P.T.
Physical Therapist
2950 S ELM PL, SUITE 460
BROKEN ARROW, OK 74012
Tulsa County (918) 451-1100

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 Robert Villareal's NPI number?

The NPI number for Robert Villareal is 1629046883. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Robert Villareal located?

Robert Villareal practices at 2950 S Elm Pl Suite 160, Broken Arrow, OK 74012. The listed phone number is (918) 449-3750.

What is Robert Villareal's specialty?

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

Is Robert Villareal enrolled in Medicare?

Yes. Robert Villareal is registered in the Medicare PECOS enrollment system.

What insurance does Robert Villareal accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Robert Villareal 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 Robert Villareal was last updated on September 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.