DR. SEBASTIAN VILLARREAL M.D.
NPI 1992053243
Neurological Surgery in Houston, TX

Q: What is Sebastian Villarreal's NPI number?

The NPI number for Sebastian Villarreal is 1992053243. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Q: What is Sebastian Villarreal's specialty?

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

Active since August 16, 2012PECOS EnrolledAccepts Medicare Assignment

6400 FANNIN ST, SUITE 2800, HOUSTON, TX 77030(713) 704-7375 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Jul 24, 2024, Aug 20, 2018 (3 updates tracked since 2018).

On this page

About Dr. Sebastian Villarreal M.d. NPPES

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

DR. SEBASTIAN VILLARREAL M.D. (NPI 1992053243) is an individual neurological surgery provider in Houston, Texas, licensed in Texas (R8840) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1992053243

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDR. SEBASTIAN VILLARREALCredential: M.D.

Location Address6400 FANNIN ST, SUITE 2800Houston, TX 77030-1521

Mailing Address24165 W Ih 10, Ste 123San Antonio, TX 78257-1160 · (713) 704-7375

Phone(713) 704-7375

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2010

Enumeration DateAugust 16, 2012

Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2024

✔ NPI 1992053243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in TX · R8840

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.

6400 FANNIN ST, Houston, TX 77030

Open in Google Maps ↗

Secondary Practice Locations 4

Location 12829 Babcock Rd Ste 106San Antonio, TX 78229-6009 · Phone (210) 951-9055

Location 2189 E Austin St Ste 101New Braunfels, TX 78130-4170 · Phone (210) 951-9055

Location 311212 State Highway 151, Medical Plaza 1, Ste. 260San Antonio, TX 78251 · Phone (210) 951-9055

Location 42829 Babcock Rd Ste 109San Antonio, TX 78229-6009 · Phone (210) 951-9055

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Sebastian Villarreal 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 ID7719237742

PECOS Enrollment IDI20180912001163

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.

78 services54 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.

43 services37 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

38 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

38 services34 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.

25 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

16 services12 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.

13 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 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.

12 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Aspiration of bone marrow for spine bone graft 20939

Aspiration of bone marrow for spine bone graft is a procedure where a small amount of bone marrow is extracted, usually from the hip, and then used to help new bone grow in the spine. This can aid in spinal fusion surgeries, enhancing recovery and stability.

11 services11 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

Hospital Affiliations CMS Care Compare 5

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450007

Location551 Hill Country DriveKerrville, TX 78028 · Kerr County

Emergency services Birthing friendly

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450237

Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450388

Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Children's Hospital Of San Antonio

Childrens · San Antonio, TX

OwnershipVoluntary non-profit - Church

CMS Certification Number453315

Location333 N Santa Rosa StSan Antonio, TX 78207 · Bexar County

Emergency services

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number670055

Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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.

Reported Quality Measures

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

99%91 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

66%112 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

37%112 patients2/55-star benchmark: 100%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

16%112 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

TEXAS MEDICAL CENTER DENTAL

Dentist (General Practice)

6400 FANNIN ST, SUITE 2040
HOUSTON, TX 77030

Harris County (713) 795-0608

SCOTT JAMES RYAN MD

Surgery (Vascular Surgery)

6400 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 486-5100

KRISTIN WHANGER PACINI PA

Physician Assistant (Surgical)

6400 FANNIN ST, 1700
HOUSTON, TX 77030

Harris County (713) 486-1800

DR. RANA OMAR AFIFI MD

Surgery (Vascular Surgery)

6400 FANNIN ST, SUITE NUMBER 2850
HOUSTON, TX 77030

Harris County (713) 486-5100

DR. MICHAEL S SWEENEY M.D.,

Thoracic Surgery (Cardiothoracic Vascular Surgery)

6400 FANNIN ST, STE 3000
HOUSTON, TX 77030

Harris County (713) 790-0841

BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF ORTHOPEDIC SURGERY

Orthopaedic Surgery

6400 FANNIN ST, SUITE 1620
HOUSTON, TX 77030

Harris County (713) 740-2200

TARA L WEGRYN MD PA

Specialist

6400 FANNIN ST, SUITE 2295
HOUSTON, TX 77030

Harris County (713) 791-9778

JORDANNA ESPANOLA MSN, RN, FNP-C

Nurse Practitioner (Family)

6400 FANNIN ST, SUITE 1400
HOUSTON, TX 77030

Harris County (281) 914-9756

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 Sebastian Villarreal's NPI number?

The NPI number for Sebastian Villarreal is 1992053243. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Where is Sebastian Villarreal located?

Sebastian Villarreal practices at 6400 Fannin St Suite 2800, Houston, TX 77030. The listed phone number is (713) 704-7375.

What is Sebastian Villarreal's specialty?

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

Is Sebastian Villarreal enrolled in Medicare?

Yes. Sebastian 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 Sebastian Villarreal accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Sebastian 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 Sebastian Villarreal affiliated with any hospitals?

According to CMS data, Sebastian Villarreal is affiliated with Peterson Regional Medical Center, Christus Santa Rosa Medical Center, Methodist Hospital, Children's Hospital Of San Antonio and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Sebastian Villarreal was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.