FREDY JESUS REVILLA M.D.
NPI 1760418610
Psychiatry & Neurology - Neurology in Greenville, SC

Q: What is Fredy Revilla's NPI number?

The NPI number for Fredy Revilla is 1760418610. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Q: What is Fredy Revilla's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Fredy Revilla was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 23, 2006PECOS EnrolledAccepts Medicare Assignment

200 PATEWOOD DR STE B350, GREENVILLE, SC 29615(864) 454-4500(864) 454-4505 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fredy Jesus Revilla M.d. NPPES

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

FREDY JESUS REVILLA M.D. (NPI 1760418610) is an individual neurology provider in Greenville, South Carolina, licensed in South Carolina (37641) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Anmed Health, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1760418610

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameFREDY JESUS REVILLACredential: M.D.

Location Address200 PATEWOOD DR STE B350Greenville, SC 29615-6337

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 454-4500

Fax(864) 454-4505

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateJune 23, 2006

Last NPPES UpdateJune 29, 2021

NPPES CertifiedJune 29, 2021

✔ NPI 1760418610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in SC · 37641✔ Licensed in OH · 35083417

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

200 PATEWOOD DR STE B350, Greenville, SC 29615

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Other Identifiers 3

Medicaid2463614OH

Medicaid376417SC

OtherP00113175OH · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.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

Fredy Jesus Revilla M.d. 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 ID5799671764

PECOS Enrollment IDI20150216001032

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 7

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

23,540 services26 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

258 services176 patients

Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874

This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.

43 services19 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

41 services37 patients

Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box 64616

This procedure involves injecting a chemical into specific neck muscles, causing temporary paralysis. It's designed to alleviate symptoms related to nerve disorders. The voice box isn't affected, ensuring normal speech post-procedure.

34 services11 patients

Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity 64644

This procedure involves injecting a chemical into specific muscles in an arm or leg to temporarily paralyze them. It's typically used to manage muscular disorders or reduce muscle activity. The process targets 5 or more muscles in the first extremity.

32 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Anmed Health

Acute Care Hospitals · Anderson, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420027

Location800 N Fant StAnderson, SC 29621 · Anderson County

Emergency services Birthing friendly

Prisma Health Greer Memorial Hospital

Acute Care Hospitals · Spartanburg, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420033

Location1413 John B White Sr Blvd Suite DSpartanburg, SC 29306 · Spartanburg County

Emergency services Birthing friendly

Prisma Health Hillcrest Hospital

Acute Care Hospitals · Simpsonville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420037

Location741 South East Main StreetSimpsonville, SC 29681 · Greenville County

Emergency services

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

2 suppliers13 claims364 services$16.97 avg. paid by Medicare

Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml J7340

DME-Drugs Administered Through DME · category DG000N

2 suppliers13 claims364 services$167.21 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers16 claims16 services$14.27 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 20

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

SAHER KARIM CHOUDHARY M.D.

Psychiatry & Neurology (Neurology)