GERARD MICHAEL VILLA DDS
NPI 1629145271
Dentist in Staten Island, NY

Q: What is Gerard Villa's NPI number?

The NPI number for Gerard Villa is 1629145271. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Gerard Villa's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Gerard Villa enrolled in Medicare?

No. Gerard Villa has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Gerard Villa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 29, 2006Opted out of Medicare · through Jan 11, 2028

4143 RICHMOND AVE, STATEN ISLAND, NY 10312(718) 984-7700(718) 984-9322 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Gerard Michael Villa Dds NPPES

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

GERARD MICHAEL VILLA DDS (NPI 1629145271) is an individual dentist in Staten Island, New York, licensed in New York (036826) and active in the NPI registry since November 2006. He has opted out of Medicare through January 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629145271

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameGERARD MICHAEL VILLACredential: DDS

Location Address4143 RICHMOND AVEStaten Island, NY 10312

Mailing Address4143 Richmond AveStaten Island, NY 10312 · (718) 984-7700 · Fax (718) 984-9322

Phone(718) 984-7700

Fax(718) 984-9322

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629145271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 036826

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4143 RICHMOND AVE, Staten Island, NY 10312

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Gerard Michael Villa Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2016 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2016

Opt-Out In Effect ThroughJanuary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10312 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

Other Providers at the Same Location NPPES 11

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

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