ETHAN CHRISTOPHER VILLAVICENCIO MD
NPI 1699610980
Surgery in Philadelphia, PA

Q: What is Ethan Villavicencio's NPI number?

The NPI number for Ethan Villavicencio is 1699610980. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Q: What is Ethan Villavicencio's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 22, 2026PECOS Enrolled

3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-2000 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2026, Apr 22, 2026 (2 updates tracked since 2026).

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About Ethan Christopher Villavicencio Md NPPES

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

ETHAN CHRISTOPHER VILLAVICENCIO MD (NPI 1699610980) is an individual surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT236383) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699610980

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameETHAN CHRISTOPHER VILLAVICENCIOCredential: MD

Location Address3401 N BROAD STPhiladelphia, PA 19140-5189

Mailing Address3401 N Broad StPhiladelphia, PA 19140-5189

Phone(215) 707-2000

Sole ProprietorYes

Enumeration DateApril 22, 2026

Last NPPES UpdateApril 29, 20262 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1699610980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in PA · MT236383

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3401 N BROAD ST, Philadelphia, PA 19140

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Christopher Villavicencio Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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 20

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

DR. JAMIE L. GARFIELD MD

Internal Medicine