DR. ELBA MARITZA VILLAVICENCIO M.D.
NPI 1720318074
Family Medicine in Berwyn, IL

Q: What is Elba Villavicencio's NPI number?

The NPI number for Elba Villavicencio is 1720318074. It was assigned to this individual provider in the NPPES registry on January 9, 2010.

Q: What is Elba Villavicencio's specialty?

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

Active since January 09, 2010PECOS Enrolled

93.08/100

CMS Quality Rating

7000 CERMAK RD, BERWYN, IL 60402(708) 484-8090 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 20, 2025, Feb 19, 2021, Nov 2, 2016 (3 updates tracked since 2016).

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About Dr. Elba Maritza Villavicencio M.d. NPPES

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

DR. ELBA MARITZA VILLAVICENCIO M.D. (NPI 1720318074) is an individual family medicine provider in Berwyn, Illinois, licensed in Illinois (036131538) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gurnee.

NPPES Registry Identity

NPI1720318074

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ELBA MARITZA VILLAVICENCIOCredential: M.D.

Location Address7000 CERMAK RDBerwyn, IL 60402-2112

Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (773) 352-1515 · Fax (312) 929-0373

Phone(708) 484-8090

Sole ProprietorNo

Enumeration DateJanuary 9, 2010

Last NPPES UpdateJune 20, 20253 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1720318074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036131538

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.

7000 CERMAK RD, Berwyn, IL 60402

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Secondary Practice Location 1

Location 17900 Rollins Rd, Suite1100Gurnee, IL 60031-1512 · Phone (847) 356-3680

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elba Maritza Villavicencio 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

93.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

9 suppliers29 claims71 services$5.63 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers21 claims26 services$0.99 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 13

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

DR. RON J CHACKO MD

Family Medicine