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JUNIOR G VILLEGAS
NPI 1700553443
Physician Assistant in Coral Gables, FL

Active since August 29, 2021PECOS EnrolledAccepts Medicare Assignment
71.98/100
CMS Quality Rating
1150 CAMPO SANO AVE FL 3, CORAL GABLES, FL 33146(786) 268-6200(786) 533-9978 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2022, Dec 10, 2021, Dec 2, 2021 and 1 more (4 updates tracked since 2021).

About Junior G Villegas NPPES

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

JUNIOR G VILLEGAS (NPI 1700553443) is an individual physician assistant in Coral Gables, Florida, licensed in Florida (PA9115114) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1700553443
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUNIOR G VILLEGAS
Location Address1150 CAMPO SANO AVE FL 3Coral Gables, FL 33146-1174
Mailing AddressPo Box 100905Atlanta, GA 30384-0905
Phone(786) 268-6200
Fax(786) 533-9978
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 29, 2021
Last NPPES UpdateJanuary 8, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2024
✔ NPI 1700553443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9115114
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1150 CAMPO SANO AVE FL 3, Coral Gables, FL 33146
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Junior G Villegas 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 ID446447643
PECOS Enrollment IDI20211220002130
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 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
16 services15 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33146 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

71.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.9
Promoting Interoperability99
Improvement Activities40
Cost46.55

Other Providers at the Same Location NPPES

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

STEPHANIE ROSE NAVARRO PA-C
Physician Assistant
1150 CAMPO SANO AVE FL 3
MIAMI, FL 33146
Miami-Dade County (786) 268-6200

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 Junior Villegas's NPI number?

The NPI number for Junior Villegas is 1700553443. It was assigned to this individual provider in the NPPES registry on August 29, 2021.

Where is Junior Villegas located?

Junior Villegas practices at 1150 Campo Sano Ave Fl 3, Coral Gables, FL 33146. The listed phone number is (786) 268-6200.

What is Junior Villegas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Junior Villegas enrolled in Medicare?

Yes. Junior Villegas 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 Junior Villegas accept?

Health plans from Oscar Health Maintenance Organization of Florida list Junior Villegas 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.

Is Junior Villegas affiliated with any hospitals?

According to CMS data, Junior Villegas is affiliated with Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Junior Villegas was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.