DR. OVETTE VILLAVICENCIO M.D, PH.D.
NPI 1972814374
Ophthalmology in Tucson, AZ

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3925 E FORT LOWELL RD STE 100, TUCSON, AZ 85712(520) 576-5110(520) 529-7165 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2020, Oct 4, 2018 (2 updates tracked since 2018).

About Dr. Ovette Villavicencio M.d, Ph.d. NPPES

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

DR. OVETTE VILLAVICENCIO M.D, PH.D. (NPI 1972814374) is an individual ophthalmology provider in Tucson, Arizona, licensed in Arizona (50246) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2010).

NPPES Registry Identity

NPI1972814374
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. OVETTE VILLAVICENCIOCredential: M.D, PH.D.
Location Address3925 E FORT LOWELL RD STE 100Tucson, AZ 85712-1053
Mailing Address3925 E Fort Lowell Rd Ste 100Tucson, AZ 85712-1053 · (520) 576-5110 · Fax (520) 529-7165
Fax(520) 529-7165
Sole ProprietorYes
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2010
Enumeration DateJune 30, 2010
Last NPPES UpdateJuly 30, 20202 updates tracked since enumeration
NPPES CertifiedJuly 30, 2020
✔ NPI 1972814374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in AZ · 50246✔ Licensed in IN · 01073604A
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License R72235 (AZ)
3925 E FORT LOWELL RD STE 100, Tucson, AZ 85712

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

Dr. Ovette Villavicencio M.d, Ph.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 ID2668696196
PECOS Enrollment IDI20150813009302
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

3

Medicare enrollment records show Ovette Villavicencio reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
3925 E FORT LOWELL RD STE 100
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group
Optometrist
8812 E BROADWAY BLVD
Tucson, AZ 85710
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Nationwide Vision Center, LLC
  • 4 clinicians in this Medicare group
Clinic/Center
220 S 63RD ST
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 14 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 15

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
379 services329 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
309 services160 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
275 services266 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
139 services126 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
133 services84 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
124 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85712 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 3

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

Ophthalmology
3925 E FORT LOWELL RD STE 100
TUCSON, AZ 85712
Optometrist
3925 E FORT LOWELL RD STE 100
TUCSON, AZ 85712
Ophthalmology
3925 E FORT LOWELL RD STE 100
TUCSON, AZ 85712

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 Ovette Villavicencio's NPI number?

The NPI number for Ovette Villavicencio is 1972814374. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Ovette Villavicencio located?

Ovette Villavicencio practices at 3925 E Fort Lowell Rd Ste 100, Tucson, AZ 85712. The listed phone number is (520) 576-5110.

What is Ovette Villavicencio's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ovette Villavicencio enrolled in Medicare?

Yes. Ovette Villavicencio 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 Ovette Villavicencio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ovette Villavicencio reassigns Medicare benefits to 3 organizations: Catalina Eye Care PC (Tucson, AZ), Nationwide Optometry P.C. (Tucson, AZ) and Swagel-Wootton Eye Center, Inc (Mesa, AZ). 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 Ovette Villavicencio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ovette Villavicencio accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Providence Health Plan and 1 other insurer list Ovette Villavicencio 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 Ovette Villavicencio was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.