DR. WAYNE GARCIA VILLANUEVA M.D.
NPI 1861483265
Neurological Surgery in Louisville, KY

Q: What is Wayne Villanueva's NPI number?

The NPI number for Wayne Villanueva is 1861483265. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Q: What is Wayne Villanueva's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Villanueva was last updated on December 9, 2020. 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 November 03, 2005PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

3900 KRESGE WAY, SUITE 51, LOUISVILLE, KY 40207(502) 891-8981(502) 891-4548 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Wayne Garcia Villanueva M.d. NPPES

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

DR. WAYNE GARCIA VILLANUEVA M.D. (NPI 1861483265) is an individual neurological surgery provider in Louisville, Kentucky, licensed in Kentucky (31793) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and is a graduate of Columbia University College Of Physicians And Surgeons (1989).

NPPES Registry Identity

NPI1861483265

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDR. WAYNE GARCIA VILLANUEVACredential: M.D.

Location Address3900 KRESGE WAY, SUITE 51Louisville, KY 40207-4660

Mailing AddressPo Box 950248Louisville, KY 40295-0248 · (502) 489-5730 · Fax (502) 489-5753

Phone(502) 891-8981

Fax(502) 891-4548

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1989

Enumeration DateNovember 3, 2005

Last NPPES UpdateDecember 9, 2020

NPPES CertifiedDecember 9, 2020

✔ NPI 1861483265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in KY · 31793

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

3900 KRESGE WAY, Louisville, KY 40207

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Other Identifiers 15

OtherKY9351PKY · Siho

Other00533105KY · Medicare - Ky - Nniky

Other000023035NKY · Humana - Nniky

Other102723KY · Siho - Nniky

Other000000604904KY · Anthem - Nniky

Medicaid64317936KY

OtherP00745281KY · Railroad Medicare Ky - Nniky

OtherB06010KY · Cumberland

Other3697391000Passport Advtg - Nniky

Other8242027KY · Cigna - Nniky

Other140006424KY · Railroad Mcr

Medicaid200088270IN

Other000000193902KY · Anthem

Other1141292KY · Passport

Other50022596KY · Passport - Nniky

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Dr. Wayne Garcia Villanueva 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 ID7719964469

PECOS Enrollment IDI20040701000488, I20180816000866

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 12

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.

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.

379 services253 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.

227 services203 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.

53 services53 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

33 services22 patients

Computer-assisted spinal procedure 61783

A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.

21 services21 patients

X-ray lower and sacral spine, minimum of 6 views 72114

An X-ray of the lower and sacral spine involves capturing images of the bones in your lower back and tailbone area. It helps to identify issues like fractures, infections, or degenerative diseases. A minimum of 6 views ensures a comprehensive examination.

18 services17 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

15 services15 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

15 services12 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

12 services12 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

12 services12 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

11 services11 patients

Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc 63030

This procedure involves partially removing a spine bone, which may help to alleviate pressure on the lower spinal cord or nerves. It can also include disc removal. This can reduce pain and improve mobility. It's a common treatment for certain back conditions.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150044

Location1850 State StNew Albany, IN 47150 · Floyd County

Emergency services Birthing friendly

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number180012

Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County

Emergency services

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180130

Location4000 Kresge WayLouisville, KY 40207 · Jefferson County

Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180138

Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

95.5/100

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

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$14.70 avg. paid by Medicare

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748

DME-Other DME · category DE000N

1 supplier16 claims16 services$3,774.70 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$62.63 avg. paid by Medicare

Dynamic adjustable knee extension / flexion device, includes soft interface material E1810

DME-Other DME · category DE000N

1 supplier12 claims12 services$72.45 avg. paid by Medicare

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650

DME-Orthotic Devices · category DF007N

4 suppliers14 claims14 services$746.18 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

LAUREN SIMEL LEWIS

Obstetrics & Gynecology

3900 KRESGE WAY, SUITE 30
LOUISVILLE, KY 40207

Jefferson County (502) 891-8700

UNIVERSITY OF LOUISVILLE REHABILITATION FACULTY GROUP, PLLC

Physical Medicine & Rehabilitation

3900 KRESGE WAY, STE #41
LOUISVILLE, KY 40207

Jefferson County (502) 899-3623

MRS. KRISTEN RAE HORD P.A.-C

Physician Assistant (Medical)

3900 KRESGE WAY, STE 30
LOUISVILLE, KY 40207

Jefferson County (502) 891-8700

CHELSEA FOWLER APRN

Nurse Practitioner (Family)

3900 KRESGE WAY
LOUISVILLE, KY 40207

Jefferson County (502) 259-4470

DR. GREGORY L PITTMAN MD

Psychiatry & Neurology (Neurology)

3900 KRESGE WAY, SUITE 56
LOUISVILLE, KY 40207

Jefferson County (502) 895-7265

WILLIAM C DILLON MD

Internal Medicine (Interventional Cardiology)

3900 KRESGE WAY, SUITE 60
LOUISVILLE, KY 40207

Jefferson County (502) 893-7710

FELIX ALBERT OLASH JR. M.D.

Internal Medicine

3900 KRESGE WAY, STE. 50
LOUISVILLE, KY 40207

Jefferson County (502) 897-1776

TARA S KAUFFMAN ARNP

Nurse Practitioner

3900 KRESGE WAY, SUITE 60
LOUISVILLE, KY 40207

Jefferson County (502) 893-7710

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 Wayne Villanueva's NPI number?

The NPI number for Wayne Villanueva is 1861483265. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Wayne Villanueva located?

Wayne Villanueva practices at 3900 Kresge Way Suite 51, Louisville, KY 40207. The listed phone number is (502) 891-8981.

What is Wayne Villanueva's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Wayne Villanueva enrolled in Medicare?

Yes. Wayne Villanueva 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 Wayne Villanueva accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Wayne Villanueva 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 Wayne Villanueva affiliated with any hospitals?

According to CMS data, Wayne Villanueva is affiliated with Baptist Health Floyd, Baptist Health Hardin, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Wayne Villanueva was last updated on December 9, 2020. 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.