GUSTAVO G VILLARREAL JR MD
NPI 1649231036
Radiology - Diagnostic Radiology in Waco, TX

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
6901 MEDICAL PKWY, RADIOLOGY DEPARTMENT, WACO, TX 76712(254) 751-4000(903) 663-7394 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Gustavo G Villarreal Jr Md NPPES

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

GUSTAVO G VILLARREAL JR MD (NPI 1649231036) is an individual diagnostic radiology provider in Waco, Texas, licensed in Texas (H8487) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1649231036
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameGUSTAVO G VILLARREAL JRCredential: MD
Location Address6901 MEDICAL PKWY, RADIOLOGY DEPARTMENTWaco, TX 76712-7910
Mailing Address4777 Us Highway 259Longview, TX 75605-7668 · (903) 663-4800 · Fax (903) 663-7394
Fax(903) 663-7394
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 28, 2006
Last NPPES UpdateAugust 15, 2013
NPI 1649231036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · H8487
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
6901 MEDICAL PKWY, Waco, TX 76712

Other Identifiers 4

Medicaid118061403TX
Medicare UPINE94918
Medicare ID-Type Unspecified83R518
Medicaid118061401TX

Accepted 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

Gustavo G Villarreal Jr Md 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 ID3870548621
PECOS Enrollment IDI20101117001021
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 35

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
25,855 services248 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
504 services398 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
296 services296 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
295 services271 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
295 services295 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
265 services233 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

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.

Nurse Practitioner (Family)
6901 MEDICAL PKWY
WACO, TX 76712
Physician Assistant
6901 MEDICAL PKWY
WACO, TX 76712
Physician Assistant
6901 MEDICAL PKWY
WACO, TX 76712
Dietitian, Registered
6901 MEDICAL PKWY
WACO, TX 76712
Internal Medicine
6901 MEDICAL PKWY
WACO, TX 76712
Emergency Medicine
6901 MEDICAL PKWY
WACO, TX 76712
Internal Medicine
6901 MEDICAL PKWY
WACO, TX 76712
Dietitian, Registered
6901 MEDICAL PKWY
WACO, TX 76712

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 Gustavo Villarreal Jr's NPI number?

The NPI number for Gustavo Villarreal Jr is 1649231036. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Gustavo Villarreal Jr located?

Gustavo Villarreal Jr practices at 6901 Medical Pkwy Radiology Department, Waco, TX 76712. The listed phone number is (254) 751-4000.

What is Gustavo Villarreal Jr's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Gustavo Villarreal Jr enrolled in Medicare?

Yes. Gustavo Villarreal Jr 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 Gustavo Villarreal Jr accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Gustavo Villarreal Jr 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 Gustavo Villarreal Jr was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.