MARLON VILORIA PT, APRN-FPA
NPI 1912514654
Nurse Practitioner - Family in Rolling Meadows, IL

Active since September 27, 2020PECOS EnrolledAccepts Medicare Assignment
89.41/100
CMS Quality Rating
2045 PLUM GROVE RD, ROLLING MEADOWS, IL 60008(847) 303-2451 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2026, Dec 13, 2023, May 2, 2021 and 2 more (5 updates tracked since 2020).

About Marlon Viloria Pt, Aprn-fpa NPPES

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

MARLON VILORIA PT, APRN-FPA (NPI 1912514654) is an individual family provider in Rolling Meadows, Illinois, licensed in Illinois (277002815) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912514654
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARLON VILORIACredential: PT, APRN-FPA
Location Address2045 PLUM GROVE RDRolling Meadows, IL 60008-1992
Mailing Address2045 Plum Grove RdRolling Meadows, IL 60008-1992 · (847) 303-2451
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 27, 2020
Last NPPES UpdateJuly 23, 20265 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1912514654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 277002815
Also ListedRegistered NurseTaxonomy 163W00000X · License 041338230 (IL)
Also ListedPhysical TherapistTaxonomy 225100000X · License 070023590 (IL)
2045 PLUM GROVE RD, Rolling Meadows, IL 60008

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marlon Viloria Pt, Aprn-fpa 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 ID1153515598
PECOS Enrollment IDI20210218001249
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Marlon Viloria reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3450 OAKTON ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 491 clinicians in this Medicare group
Family Medicine
1324 N SHERIDAN RD
Waukegan, IL 60085
  • Reassigned Medicare billing, Illinois enrollment
  • 166 clinicians in this Medicare group
Family
11200 W LINCOLN HWY
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 223 clinicians in this Medicare group
Family
11200 LINCOLN HWY
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 115 clinicians in this Medicare group
Family
11200 LINCOLN HWY
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
382 services182 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
100 services54 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
79 services48 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
63 services11 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
54 services54 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
54 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60008 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.

89.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.66
Promoting Interoperability100
Improvement Activities40
Cost71.14

Referred Medical Equipment & Supplies CMS DME claims

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
5 suppliers14 claims33 services$5.21 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 5

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

Nurse Practitioner (Family)
2045 PLUM GROVE RD
ROLLING MEADOWS, IL 60008
Home Health
2045 PLUM GROVE RD
ROLLING MEADOWS, IL 60008
Pharmacy
2045 PLUM GROVE RD
ROLLING MEADOWS, IL 60008
Nurse Practitioner (Family)
2045 PLUM GROVE RD
ROLLING MEADOWS, IL 60008
Pharmacist
2045 PLUM GROVE RD
ROLLING MEADOWS, IL 60008

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 Marlon Viloria's NPI number?

The NPI number for Marlon Viloria is 1912514654. It was assigned to this individual provider in the NPPES registry on September 27, 2020.

Where is Marlon Viloria located?

Marlon Viloria practices at 2045 Plum Grove Rd, Rolling Meadows, IL 60008. The listed phone number is (847) 303-2451.

What is Marlon Viloria's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marlon Viloria enrolled in Medicare?

Yes. Marlon Viloria 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.

Which organizations bill Medicare for Marlon Viloria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlon Viloria reassigns Medicare benefits to 5 organizations: Vitae Health Medical Illinois, PLLC (Skokie, IL), Waukegan Clinic Corp (Waukegan, IL), Minuteclinic Diagnostic Of Illinois PLLC (Mokena, IL), Minuteclinic Primary Care Illinois PLLC (Mokena, IL) and Minuteclinic Video Virtual Care North, LLC (Mokena, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marlon Viloria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marlon Viloria accept?

Health plans from Oscar Health list Marlon Viloria 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.

When was this NPI record last updated?

The NPPES record for Marlon Viloria was last updated on July 23, 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.