ERIC DAVID VILLARREAL MD
NPI 1790281400
Orthopaedic Surgery in Clearwater, FL

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
430 MORTON PLANT ST STE 301, CLEARWATER, FL 33756(727) 461-6026 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, Nov 11, 2024, Feb 5, 2024 and 1 more (4 updates tracked since 2023).

About Eric David Villarreal Md NPPES

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

ERIC DAVID VILLARREAL MD (NPI 1790281400) is an individual orthopaedic surgery provider in Clearwater, Florida, licensed in Florida (ME164109) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1790281400
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameERIC DAVID VILLARREALCredential: MD
Location Address430 MORTON PLANT ST STE 301Clearwater, FL 33756-3395
Mailing Address5901 E Fowler Ave Ste 100Temple Terrace, FL 33617-2305 · (813) 978-9700 · Fax (813) 558-6939
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2018
Enumeration DateApril 2, 2018
Last NPPES UpdateMay 6, 20264 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1790281400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in FL · ME164109
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License DR.0070341 (CO)
430 MORTON PLANT ST STE 301, Clearwater, FL 33756

Secondary Practice Locations 3

Location 11865 Lpga BlvdDaytona Beach, FL 32117-7108 · Phone (386) 255-4596 · Fax (386) 258-3561
Location 21075 Mason AveDaytona Beach, FL 32117-4611 · Phone (386) 255-4596 · Fax (386) 258-3561
Location 312631 E 17th Ave Ofc 1Aurora, CO 80045-2527 · Phone (303) 724-7378

Other Identifiers 1

Medicaid121603200FL

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

Eric David Villarreal 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 ID1658629092
PECOS Enrollment IDI20240619000981
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 6

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
159 services110 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
103 services73 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.
96 services71 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.
80 services72 patients
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.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33756 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Orthopaedic Surgery
430 MORTON PLANT ST STE 301
CLEARWATER, FL 33756
Physician Assistant (Surgical)
430 MORTON PLANT ST STE 301
CLEARWATER, FL 33756
Physician Assistant
430 MORTON PLANT ST STE 301
CLEARWATER, FL 33756
Orthopaedic Surgery
430 MORTON PLANT ST STE 301
CLEARWATER, FL 33756
Physician Assistant (Surgical)
430 MORTON PLANT ST STE 301
CLEARWATER, FL 33756
Physical Therapist
430 MORTON PLANT ST STE 301
CLEARWATER, FL 33756
Physician Assistant (Surgical)
430 MORTON PLANT ST STE 301
CLEARWATER, FL 33756
Physical Therapy Assistant
430 MORTON PLANT ST STE 301
CLEARWATER, FL 33756

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 Eric Villarreal's NPI number?

The NPI number for Eric Villarreal is 1790281400. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Eric Villarreal located?

Eric Villarreal practices at 430 Morton Plant St Ste 301, Clearwater, FL 33756. The listed phone number is (727) 461-6026.

What is Eric Villarreal's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Eric Villarreal enrolled in Medicare?

Yes. Eric Villarreal 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 Eric Villarreal accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Health First Commercial Plans, Inc. and Medica and 1 other insurer list Eric Villarreal 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 Eric Villarreal affiliated with any hospitals?

According to CMS data, Eric Villarreal is affiliated with Halifax Health Medical Center, Adventhealth Daytona Beach, Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Eric Villarreal was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.