FRANKLIN A VILLANUEVA MD
NPI 1912905159
Internal Medicine in Ironwood, MI

Q: What is Franklin Villanueva's NPI number?

The NPI number for Franklin Villanueva is 1912905159. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Q: What is Franklin Villanueva's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment

98.65/100

CMS Quality Rating

N10565 GRANDVIEW LN, IRONWOOD, MI 49938(906) 932-1500(906) 932-5630 Get Directions Write a Review

NPPES record last updated: October 5, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Franklin A Villanueva Md NPPES

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

FRANKLIN A VILLANUEVA MD (NPI 1912905159) is an individual internal medicine provider in Ironwood, Michigan, licensed in Michigan (4301071764) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Aspirus Keweenaw Hospital And Clinics, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1912905159

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameFRANKLIN A VILLANUEVACredential: MD

Location AddressN10565 GRANDVIEW LNIronwood, MI 49938-9622

Mailing AddressN10565 Grandview LnIronwood, MI 49938-9622 · (906) 932-1500 · Fax (906) 932-5630

Phone(906) 932-1500

Fax(906) 932-5630

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateJuly 12, 2005

Last NPPES UpdateOctober 5, 2007

✔ NPI 1912905159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301071764

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

N10565 GRANDVIEW LN, Ironwood, MI 49938

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Other Identifiers 7

Medicaid34155000WI

Medicare PIN021MI

Other1028830Preferredone

Other48G56VIMN · Bcbs

Medicare UPINH45919

OtherFV071764MI · Blue Cross Blue Shield Mi

Medicaid4336760MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Franklin A Villanueva 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 ID648312744

PECOS Enrollment IDI20100128000229

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.

Hospital Affiliations CMS Care Compare 3

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

Aspirus Keweenaw Hospital And Clinics

Critical Access Hospitals · Laurium, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231319

Location205 OsceolaLaurium, MI 49913 · Houghton County

Emergency services Birthing friendly

Aspirus Ironwood Hospital

Critical Access Hospitals · Ironwood, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number231333

LocationN10561 Grand View LaneIronwood, MI 49938 · Gogebic County

Emergency services Birthing friendly

Howard Young Medical Center

Acute Care Hospitals · Woodruff, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520091

Location240 Maple StWoodruff, WI 54568 · Vilas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49938 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

98.65/100

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

Scored as part of a group practice

Quality

95.19

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 10

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 suppliers90 claims205 services$6.02 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers29 claims41 services$1.14 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

2 suppliers21 claims383 services$8.28 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

2 suppliers22 claims368 services$2.57 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier14 claims63 services$2.51 avg. paid by Medicare

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

DME-Oxygen and Supplies · category DC000N

1 supplier35 claims35 services$20.10 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.

CHRISTOPHER J POGLIANO MD

Family Medicine (Geriatric Medicine)